Surgical treatment of two different interventional cardiological complications at the same patient

Abstract

With the introduction of technological improvements, invasive cardiologic interventions have become increasingly used alternatives to surgery. Despite its numerous benefits, serious and potentially life-threatening complications of invasive cardiology interventions may occur. Herein, we report a case who developed two different complications due to an invasive cardiology intervention at different times. One of them was device embolization after transcatheter closure of atrial septal defect and the other was right ventricle perforation due to late pericardial tamponade-related percutaneous pericardiocentesis. Both complications associated with percutaneous intervention were surgically treated.

WCC 2017-C-103: Emergency Surgical Retrieval of Embolized Atrial Septal Defect Closure Device from Left Atrium

“…Percutaneous retrieval of the embolized device is possible in about 70% of cases. However, some authors suggest that embolization of device is always an indication for emergency surgical retrieval, which also permits a direct inspection of intra-cardiac structures that may have become injured [6]. In our patient, we also preferred surgical approach due to close relation of device with mitral valve and the left ventricle.…”

Embolization of Atrial Septal Defect Occluder Device into the Left Ventricle- Emergency Surgical Removal

“…However, some authors suggest that embolization of device is always an indication for emergency surgical retrieval, which also permits a direct inspection of intra-cardiac structures that may have become injured. 6 In our patient, we also preferred surgical approach due to close relation of device with mitral valve in the left ventricle. In conclusion, a careful echocardiographic assessment and procedure planning should be done for a percutaneous intervention.…”