Abstract
Device migration and distal embolization is a rare complication of percutaneous foramen ovale closure, occurring in 0.5% of cases. An 18-year-old woman presented with acute abdominal pain due to a hemorrhagic ovarian cyst and underwent computed tomography. A septal defect occlusion device had been implanted 21 days ago and was found to have migrated to the abdominal aorta (Figs 1, 2). Using the perclose technique (ProGlide; Abbott Vascular, Chicago, Illinois), a 12-F × 40-cm sheath (Flexor; Cook Medical, Bloomington, Indiana) was introduced from femoral arterial access, and a 20-mm loop snare (Medtronic, Minneapolis, Minnesota) was used to snare the end screw of the device (Fig 3) and draw it into the sheath (Video 1).
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