title: Failed closure of a ventricular septal defect with an Amplatzer occluder.
abstract: A 74-year-old man was diagnosed to have a ventricular septal defect (VSD), which was detected shortly following transvenous pacemaker implantation. Transoesophageal echocardiography suggested the presence of two VSDs, one of which was closed with a device. At surgery, a single large VSD was seen, with the implanted device having embolised into the left ventricle. The defect was successfully closed using a pericardial patch, and the embolised device explanted.
authors.affiliation: Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Kerpener Strasse 62, 50937 Cologne, Germany. jens.wippermann@uk-koeln.de
authors.forename: Jens
authors.initials: J
authors.lastname: Wippermann
authors.forename: Uta C
authors.initials: UC
authors.lastname: Hoppe
authors.forename: Narayanswami
authors.initials: N
authors.lastname: Sreeram
authors.forename: Thorsten
authors.initials: T
authors.lastname: Wahlers
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation*; D020878:Device Removal; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000209:etiology* / Q000601:surgery; D005548:Foreign-Body Migration / Q000209:etiology* / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D010496:Pericardium / Q000637:transplantation; D011475:Prosthesis Failure; D012086:Reoperation; D055989:Septal Occluder Device; D017211:Treatment Failure