2020
DOI: 10.1186/s12893-020-0682-6
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Surgical removal of part of an occluder to treat iatrogenic coarctation of the aorta: a case report

Abstract: Background: Iatrogenic aortic stenosis is a serious complication and potentially fatal due to erosion of the aortic wall. Timely management is necessary to prevent complications. Case presentation: A 2-year-old boy underwent surgery to remove part of an Amplatzer occluder after patent ductus arteriosus (PDA) device embolization in the thoracic aorta. He exhibited moderate to severe obstruction with erosion of the intimal layer of the aorta caused by the device, part of which was retrieved surgically with restr… Show more

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Cited by 4 publications
(2 citation statements)
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“…This was essentially a reflection of the severity of the injury and the severity of the inflammatory response, which just proved that the pseudoperimembranous aneurysm was an active tissue that can proliferate continuously. The aneurysmal perimembranous tissue was continuously damaged by the impact of blood flow, and the continuous inflammatory response made the aneurysmal perimembranous tissue continue to proliferate [ 22 ]. This ability to proliferate allowed the larger defects of the VSD to shrink or even close.…”
Section: Discussionmentioning
confidence: 99%
“…This was essentially a reflection of the severity of the injury and the severity of the inflammatory response, which just proved that the pseudoperimembranous aneurysm was an active tissue that can proliferate continuously. The aneurysmal perimembranous tissue was continuously damaged by the impact of blood flow, and the continuous inflammatory response made the aneurysmal perimembranous tissue continue to proliferate [ 22 ]. This ability to proliferate allowed the larger defects of the VSD to shrink or even close.…”
Section: Discussionmentioning
confidence: 99%
“…For the percutaneous transcatheter closure of the symptomatic PDA, Amplatzer duct occluders (ADOs) are commonly used (2). In neonates or patients with specific PDA morphology, PDA device closure has been difficult due to the device protrusion into the thoracic aorta (3)(4)(5)(6)(7)(8). The right angle between the plug and disc causes the protrusion of the disc into the thoracic aorta because most PDA cases have an acute angle with the thoracic aorta.…”
Section: Introductionmentioning
confidence: 99%