Surgical removal of an embolized patent ductus arteriosus coil from pulmonary artery without cardiopulmonary bypass

Abstract

We report the case of a 4-month-old girl who underwent patent ductus arteriosus (PDA) coil embolization. The coil had migrated into the left pulmonary artery and attempts to retrieve it with interventional techniques were unsuccessful. To prevent late effects of a foreign object in pulmonary artery, the patient was referred to surgery. The operation was done without cardiopulmonary bypass (CPB) and with the aid of a Fogarty catheter. Recovery was uneventful after the procedure. As far as we know this is the first patient in whom CPB was not used for coil removal.

Successful Percutaneous Treatment of an Embolized Patent Ductus Arteriosus Occluder Device

“…4 There have been many case reports regarding surgical treatment of an embolized device. [5][6][7] Although it is well defined in patients with atrial septal defect, percutaneous retrieval of an embolized device is rare in patients with patent ductus arteriosus. 8 In our case, we informed the patient of this complication.…”

The Current Role of Surgery in Treating Adult Patients with Patent Ductus Arteriosus

“…Inadequate exposure during VATS or uncontrollable bleeding indicates conversion to thoracotomy. Rarely, urgent surgical management for embolized coils and occluder devices is needed …”

“…Rarely, urgent surgical management for embolized coils and occluder devices is needed. 9 Various techniques for surgical correction of PDA were described. PDA was approached through thoracothomy or sternotomy, with or without the use of CPB.…”

Removal of an embolized transcatheter occluder device: the contradictious surgical treatment of a percutaneous complication

“…The device embolization can be seen in 0.55-3.8% of these cases. [2][3][4] However, this complication should be overcome primarily by percutaneous methods before an open surgical approach. Balbi et al [2] reported that the success rate of percutaneous retrieval of an embolized device is 50%.…”

“…An embolized device may be simply rescued by using a loop snare, an endocardial biopsy forceps, a Fogarthy catheter, or a 15 mm Amplatz GooseNeck Snare, through a femoral arterial percutaneous access instead of this massive surgical operation. [3][4][5] In the light of all these aforementioned references, which are the obvious examples of how can an embolized device be rescued, the preference of a surgical option without trying any previous percutaneous maneuver seems to be incorrect.…”