Powered by OpenAIRE graph
Found an issue? Give us feedback
addClaim

The migration of atrial septal occluder device, is it fatal?

Authors: Y A, Ambarsari; H, Aribowo; Y, Kurnia; I, Amal; D P, Susantya; T T, Novenanto; I, Satriotomo;

The migration of atrial septal occluder device, is it fatal?

Abstract

Atrial septal defect (ASD) is a defect between right and left atrium. Nowadays, percutaneous closure using an atrial septal occluder (ASO) device is the preferred treatment for secundum ASDs due to its minimal invasiveness and high success rates. Although rare, device dislodgement can occur and may require surgical retrieval. This retrospective case series from RSUP Dr. Sardjito Hospital (January 2022- July 2024) reports three paediatric cases of failed ASD closure due to ASO dislodgement. The patients were aged 9, 12, and 13 years. Dislodgement occurred three years postimplantation in one patient, two months post-implantation in another, and intraoperatively in the third. Migration sites included the left atrium and right ventricle. Surgical removal and patch closure were performed in all cases. Cross-clamp times ranged from 20-24 minutes and cardiopulmonary bypass times from 34-46 minutes. All patients successfully recovered and were discharged without residual defects or further complications. Possible causes of ASO dislodgement include undersized devices, large defects, poor rim support, and procedural factors. Despite the children's relatively normal body weights, improper anchoring or anatomical limitations may have contributed to the device failure. While percutaneous retrieval is possible, chronic dislodgements are best managed surgically. No major complications, such as rupture or embolism, occurred postoperatively. In conclusion, although ASO dislodgement is rare, timely surgical intervention is essential. Since asymptomatic cases may remain undiagnosed, regular follow-up is crucial to detect delayed dislodgement.

Related Organizations
Keywords

Adolescent, Foreign-Body Migration, Septal Occluder Device, Humans, Child, Device Removal, Heart Septal Defects, Atrial, Prosthesis Failure, Retrospective Studies

  • BIP!
    Impact byBIP!
    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    0
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Upload OA version
Are you the author of this publication? Upload your Open Access version to Zenodo!
It’s fast and easy, just two clicks!