Surgical Management for Complications during Closure of Atrial Septal Defect with Amplatzer Device

Hui-Chung Wu, Chung-Chi Wang, Yun-Chin Fu, Sheng-Lin Jan, Hao-Ji Wei, Yung-Kai Lin, Yen Chang
Acta Cardiologica Sinica 2013, 29 (6): 557-61

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.

KEY WORDS: Amplatzer occluder; Atrial septal defect; Surgical management.

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