Successful Percutaneous Retrieval of Embolised Septal Occluder Device and Device Closure of Atrial Septal Defect in Combined Procedure
Gurkirat Singh *
Department of Cardiology, Grant Medical College and Sir J. J. Group of Hospitals, Mumbai, India.
Mahesh Bodkhe
Department of Cardiology, Grant Medical College and Sir J. J. Group of Hospitals, Mumbai, India.
Akshat Jain
Department of Cardiology, Grant Medical College and Sir J. J. Group of Hospitals, Mumbai, India.
Narender Omprakash Bansal
Department of Cardiology, Grant Medical College and Sir J. J. Group of Hospitals, Mumbai, India.
*Author to whom correspondence should be addressed.
Abstract
Transcatheter device closure is the treatment of choice in patients with secundum atrial septal defects with adequate rims. It is technically safe, feasible and has the obvious advantage of being a nonsurgical technique. Patient is free from the scar especially young, unmarried females. It is not free of complications. Device embolization and arrhythmias are the major complications. Embolised device can cause hemodynamic compromise by obstructing the blood flow if it gets embolised in pulmonary artery. We report a case of 24 year old female, taken for device closure of atrial septal defect. Device gets embolised in pulmonary artery causing hemodynamic compromise by causing obstruction to blood flow. This embolised device was successfully retrieved percutaneously. The atrial septal defect was closed with one size larger device, in the same sitting. Patient is asymptomatic and is free from any scar.
Keywords: Atrial septal defect, device closure, device embolization, percutaneous retrieval.