Surgical Management for Complications during Closure of Atrial Septal Defect with Amplatzer Device.
BACKGROUND
Transcatheter closure of secundum type atrial septal defect (ASD) has become a standard procedure in most medical centers. Although the procedure is invasive and has a shorter recovery duration and a lower complication rate compared with surgery, it is not risk-free. In this retrospective chart review case series, we report our experience of management of complications after placement of an ASD occluder.


METHODS
Between January 2000 and December 2010, a total of 508 patients in our hospital underwent closure of secundum type ASD using an Amplatzer septal occluder (ASO). Six of the patients (1.2%) had device embolization or migration warranting surgical retrieval and repair.


RESULTS
All the devices were removed and the defects were repaired successfully without any mortality.


CONCLUSIONS
Surgical intervention for complications of ASO placement in patients who underwent closure of secundum type ASD is safe and effective.


BACKGROUND
Amplatzer occluder; Atrial septal defect; Surgical management.
Department of Surgery, Cheng Ching General Hospital;
Hui-Chung
HC
Wu
Cardiovascular Center, Taichung Veterans General Hospital;
Chung-Chi
CC
Wang
Department of Pediatrics, Taichung Veterans General Hospital.
Yun-Chin
YC
Fu
Department of Pediatrics, Taichung Veterans General Hospital.
Sheng-Lin
SL
Jan
Cardiovascular Center, Taichung Veterans General Hospital;
Hao-Ji
HJ
Wei
Cardiovascular Center, Taichung Veterans General Hospital;
Yung-Kai
YK
Lin
Cardiovascular Center, Taichung Veterans General Hospital;
Yen
Y
Chang