Back to 2024 Display ePosters
Emergency Retrieval Of A Migrated Amplatzer Device In The Left Ventricle Using An Endoscopic Technique
Alex J. Poovathoor1, Ranjit Deshpande
2, Max Baghai
2;
1University of Cambridge, Cambridge, United Kingdom,
2Cleveland Clinic London, London, United Kingdom
Background Amplatzer devices used for the correction of patent foramen ovale (PFO) carry a 1-2% risk of embolization. Surgery is usually required for retrieval of the migrated device. There is no publication to date of an emergency surgical retrieval via a minimal access route.
Method and Results We present a case of a 25-year-old female patient with a history of a secundum atrial septal defect. An Amplatzer device was deployed and appeared well seated with no residual shunt. Unfortunately, a few hours later an echocardiogram clearly demonstrated that the device had migrated to the left ventricular apex. The device was retrieved emergently with a minimal-access approach using an endoscopic technique via a right mini-thoracotomy (trans-areolar).
Conclusion A minimal-access approach for the retrieval of migrated PFO occlusion devices is feasible and safe. At a centre with experience of minimal-access surgery, this is a viable approach to manage the complications after percutaneous PFO procedures.
Back to 2024 Display ePosters
