Surgical Intervention for Embolization of Atrial Septal Defect Closure Devices: Case Report


  • Hakan Vural
  • Tahsin Bozat
  • Derih Ay
  • M. Çağdaş Çayir
  • Arif Gücü
  • Tuğrul Göncü



Atrial septal defect (ASD) closure using a percutaneous transcatheter device is used as an alternative to surgery. Various devices are increasingly used in clinical practice, and various types and models of septal occluder devices are available. The Amplatzer device (Amplatzer Medical, Golden Valley, MN, USA) is one with increasing popularity.
We report a case of attempted percutaneous transcatheter closure of a large ASD in a 14-year-old girl, complicated by total device embolization to the right ventricle necessitating emergency surgery.


Agarwal SK, Ghosh P, Mittal P. 1996. Failure of devices used for closure of atrial septal defects: mechanisms and management. J Thorac Cardiovasc Surg 112: 21-6.nBerger F, Vogel M, Alexi-Meskishvili V, Lange PE. 1999. Comparison of results and complications of surgical and Amplatzer device closure of atrial septal defects. J Thorac Cardiovasc Surg 118: 674-80.nChessa M, Carminati M, Butera G, et al. 2002. Early and late complications associated with transcatheter occlusion of secundum atrial septal defect. J Am Coll Cardiol 39:1061-5.nContrafouris CA, Chatzis AC, Giannopoulos NM, et al. 2006. Emergency surgery for embolisation of Amplatzer device into the left atrium. Hellenic J Cardiol 47: 245-6.nDas GS, Voss G, Wyche K, Gunther R, Wilson RF. 1993. Experimental atrial septal defect closure with a new, transcatheter, self-centering device. Circulation. 88:1754-64.nEmmanoulides GC, Allen HD, Reimenschneider FA. Heart disease in infants, children and adolescents including fetus and young adults. In: Clark FB, Gutgesell HP, eds. Baltimore: Williams and Wilkins; 1995:60-9.nHausdorf G, Schneider M, Franzbach B, Kampmann C, Kargus K, Goeldner B. 1996. Transcatheter closure of secundum atrial septal defects with the atrial septal defect occlusion system (ASDOS): initial experience in children. Heart 75: 83-8.nKing TD, Thompson SL, Steiner C, Mills NL. 1976. Secundum atrial septal defect. Nonoperative closure during cardiac catheterization. JAMA 235:2506-9.nRome JJ, Keane JF, Perry SB, Speavac PJ, Lock JE. 1990. Double umbrella closure of atrial septal defects: initial clinical applications. Circulation 82: 751-8.nSideris EB, Sideris SE, Thanopoulos BD, Ehly RL, Fowlkes JP. 1990. Transvenous atrial septal defect occlusion by the buttoned device. Am J Cardiol 66:1524-6.nThomson J, Aburawi E, Watterson K, Van Doorn C, Gibbs JL. 2002. Surgical and transcatheter (Amplatzer) closure of atrial septal defects: a prospective comparison of results and cost. Heart 87: 466-9.n



How to Cite

Vural, H., Bozat, T., Ay, D., Çayir, M. Çağdaş, Gücü, A., & Göncü, T. (2013). Surgical Intervention for Embolization of Atrial Septal Defect Closure Devices: Case Report. The Heart Surgery Forum, 16(5), E274-E275.




Most read articles by the same author(s)