Hybrid approach for aortic embolization of Amplatzer duct occluder

Sudesh Prabhu; Shreesha Maiya; Riyan Shetty; Keshava Murthy; Prakash Ramachandra; Rishi Tiwari

doi:10.4103/apc.APC_13_20

Hybrid approach for aortic embolization of Amplatzer duct occluder

Ann Pediatr Cardiol. 2020 Jul-Sep;13(3):227-229. doi: 10.4103/apc.APC_13_20. Epub 2020 Jun 2.

Authors

Sudesh Prabhu¹, Shreesha Maiya², Riyan Shetty³, Keshava Murthy⁴, Prakash Ramachandra², Rishi Tiwari¹

Affiliations

¹ Department of Paediatric Cardiac Surgery, Narayana Institute of Cardiac Sciences, Bengaluru, Karnataka, India.
² Department of Paediatric Cardiology, Narayana Institute of Cardiac Sciences, Bengaluru, Karnataka, India.
³ Paediatric Critical Care Unit, Narayana Institute of Cardiac Sciences, Bengaluru, Karnataka, India.
⁴ Department of Cardiac Anaesthesia, Narayana Institute of Cardiac Sciences, Bengaluru, Karnataka, India.

Abstract

Embolization of the patent ductus arteriosus (PDA) device is a known adverse event of percutaneous PDA closure, which can lead to complications. Embolization can occur into the pulmonary artery or into the aorta. Device embolization can be moderate adverse event (when retrieved percutaneously) or major adverse event (when retrieved surgically). We are describing a hybrid approach for aortic embolization of PDA device when the percutaneous retrieval fails, where device retrieval and PDA ligation can be done through thoracotomy incision, thus decreasing the complications.

Keywords: Amplatzer duct occluder; device embolization; hybrid approach; major adverse event.

Publication types

Case Reports