Shed Atrial Septal Occluder Removed by Gastric Biopsy Forceps: A Case Report
DOI:
https://doi.org/10.59958/hsf.6909Keywords:
atrial septal defect, gastric biopsy forceps, occluder dislodgement, case reportAbstract
Atrial septal defect (ASD) is a common congenital heart disease, and can be treated with occluders. However, occluder detachment remains one of the most urgent complications to be resolved. This paper reported a case of ASD occluder detachment, which was successfully resolved with gastroscopic biopsy forceps. A 57-year-old woman complained chest distress for over one week, and was admitted to cardiovascular department of Sir Run Run Shaw Hospital. Based on echocardiography, the patient was diagnosed as ASD, mitral and tricuspid valve regurgitation. On the second day after percutaneous closure of residual ASD, routine chest radiographs showed the occluder detached into the abdominal aorta. After a thorough evaluation and examination, we decided to use gastric biopsy forceps to remove occluder. As a result, the patient recovered well and discharged from the hospital. For postoperative patients with ASD, when occlusion devices detached and conventional strategies could not extract the occluders, gastric biopsy forceps would be appliable. Compared to conventional strategies, gastric biopsy forceps have better grasping force, and provide secure fixing for disconnected or detached occlusion devices in cardiac interventional surgeries.
References
Working-Committee-Of-Preenmental Association. Interventional treatment of common congenital heart disease 1, interventional treatment of atrial septal defect. Journal of Interventional Radiology. 2011; 20: 3–9.
Han HG, Zhang NB, Wang ZW, Wang HS, Zhu,HY, Li XM. Surgical treatment of atrioventricular septal defect with interventional therapy: analysis of 16 cases with serious complications. Chinese Journal of Interventional Cardiology. 2010; 18: 89–92. (In Chinese)
Chessa M, Carminati M, Butera G, Bini RM, Drago M, Rosti L, et al. Early and late complications associated with transcatheter occlusion of secundum atrial septal defect. Journal of the American College of Cardiology. 2002; 39: 1061–1065.
Spies C, Timmermanns I, Schräder R. Transcatheter closure of secundum atrial septal defects in adults with the Amplatzer septal occluder: intermediate and long-term results. Clinical Research in Cardiology: Official Journal of the German Cardiac Society. 2007; 96: 340–346.
Filippone G, La Barbera G, Valentino F, Ocello S, Talarico F. Transcatheter retrieval of Amplatzer Septal Occluder device embolized into the abdominal aorta. SAGE open medical case reports. 2019; 7: 1–5.
Xu LY, Han HG, Wang HS, Fang MH, Liu Y, Qu H. Analysis of the causes and coping strategies of occluder shedding after failure of interventional therapy for congenital heart disease. Journal of Clinical Military Medicine. 2016; 44: 692–694. (In Chinese)
Yu L, Jiang RH, Ruan YQ, Jiang CY. Retrieval of a Disconnected Left Atrial Appendage Occluder with Endoscopic Grasping Forceps. Chinese Medical Journal. 2018; 131: 368–369.
He ZH, Zhi XG, Huo G, Zhong D, Tang WY. Crocodile fiberoptic biopsy forceps extracted angiographic rupture catheter in 2 cases. Chinese Journal of Neuropsychiatric Disorders. 2001; 27: 55. (In Chinese)
