Severe spinal cord ischemic injury secondary to device embolization after transcatheter closure of a patent arterial duct.

Abstract:

:Percutaneous closure of patent arterial ducts with the Amplatzer Ductal Occluder has become an effective and widely accepted alternative to surgical management. Although rarely, the occluder can be dislodged after an initially successful deployment, and with catastrophic consequences. We describe such a case in a 12-month-old girl who underwent transcatheter closure of a patent arterial duct. After device deployment, the occluder embolized in the patient's descending thoracic aorta, and severe spinal cord ischemic injury resulted. To our knowledge, ours is the first report of this complication after the deployment of an Amplatzer Ductal Occluder. We discuss pathophysiologic mechanisms that could expose patients to the risk of device dislodgment, and we review the relevant medical literature.

journal_name

Tex Heart Inst J

authors

Tang L,Zhou S,Shen X

doi

10.14503/THIJ-12-2927

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

83-6

issue

1

eissn

0730-2347

issn

1526-6702

journal_volume

41

pub_type

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