Total laparoscopic intra-aortic foreign body retrieval.
Thrombo-embolic risk of intra-aortic foreign bodies (IAFB) is unpredictable. Endovascular retrieval is the treatment of choice but not always feasible. We report a case of total laparoscopic IAFB retrieval in a 37 years old patient. He underwent a percutaneous closure of a septal defect using a Helex device (WL Gore). Migration of the device occurred 6 months after the procedure. Device was located at the aortic bifurcation on CT scan. We performed a total laparoscopic retrieval through a transperitoneal direct approach of the abdominal aorta. Postoperative course was uneventful.
Colacchio
G
G
Department of Vascular Surgery M.A.S., Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo, Italy. giovanni.colacchio@operapadrepio.it
Sciannelli
V
V
Palena
G
G
Coggia
M
M
D000328:Adult; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects* / Q000295:instrumentation; D020878:Device Removal; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006343:Heart Septal Defects / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D011859:Radiography; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*