Abstract
Embolization of the Amplatzer Septal Occluder (ASO) device (St. Jude Medical, Minnesota) after percutaneous closure of atrial septal defect (ASD) is a rare and potentially catastrophic complication. Percutaneous retrieval of the embolized device is gaining ground as an acceptable method, although these patients are usually subsequently referred for open surgical closure of the ASD. We present a unique case of percutaneous retrieval embolized ASO device and placement of newer larger ASO device in a single procedure.
Highlights
Embolization of the Amplatzer Septal Occluder (ASO) device
We present a unique case of percutaneous retrieval embolized ASO device and placement of newer larger ASO device in a single procedure
Patient was taken to cardiac catheterization laboratory for possible percutaneous retrieval of the embolized ASO device and placement of a newer device
Summary
A 75-year-old female patient with history of persistent atrial fibrillation after multiple failed cardioversions and septum secundum type of ASD presented with worsening exertional dyspnea of six-month duration. Jude Medical, Minnesota), after resizing of the defect This time the sizing balloon yielded diameter of 17.41 mm (Figure 3(a)) and ICE of 18 mm (Figure 3(b)). Both ICE and TTE showed properly positioned ASO device with minimal residual shunt.
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