Self-repositioning of an embolized patent ductus arteriosus device--a nightmare turned into sweet dreams.
A 7-month-old boy was admitted for the device closure of symptomatic patent ductus arteriosus (PDA) with moderate pulmonary hypertension. The PDA measured 4.2 mm with adequate ampulla. It was closed with an 8-6 mm Heart R device from pulmonary artery (PA) end. Post extubation, the device embolized to proximal descending thoracic aorta just distal to PDA ampulla. While attempting to snare from the venous side, the device self-repositioned to PDA. It was stable thereafter and patient was discharged after 2 days. We report a complication, which got self-corrected.
Department of cardiology, Sreechitra Tirunal institute for medical sciences and technology, Thiruvananthapuram, Kerala, India.
Venkateshwaran
V
Subramanian
Krishnamoorthy
K
Kavassery Mahadevan
Sivasankaran
S
Sivasubramonian
D006328:Cardiac Catheterization / Q000379:methods; D004374:Ductus Arteriosus, Patent / Q000000981:diagnostic imaging / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis / Q000628:therapy; D007223:Infant; D008297:Male; D011474:Prosthesis Design; D011475:Prosthesis Failure; D015641:Radiography, Interventional / Q000379:methods*; D012075:Remission, Spontaneous; D055989:Septal Occluder Device / Q000009:adverse effects*; D012720:Severity of Illness Index
ASD/PDA/PFO; closure; coil/device/transcatheter; complications; congenital heart disease; embolization; pediatric catheterization/intervention; pediatrics