Miniinvasive hybrid procedure for device migration after percutaneous closure of persistent arterial duct: a case report

Miniinvasive hybrid procedure for device migration after percutaneous closure of persistent arterial duct: a case report

We report a case of an 8-month-old girl admitted to the Department of Paediatric Cardiac Surgery, Pomeranian Centre of Traumatology in Gdansk with migration of an Amplatzer Duct Occluder II device (AGA Med. Corp., USA) to the left pulmonary artery after interventional patent arterial duct (PDA) clos...

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Main Authors: Haponiuk, Ireneusz, Chojnicki, Maciej, Jaworski, Radoslaw, Steffek, Mariusz, Juscinski, Jacek, Zabolska, Irena, Sendrowska, Aneta, Gierat-Haponiuk, Katarzyna
Format: Online
Language:English
Published: Termedia Publishing House 2012
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516986/
id pubmed-3516986
recordtype oai_dc
spelling pubmed-35169862012-12-19 Miniinvasive hybrid procedure for device migration after percutaneous closure of persistent arterial duct: a case report Haponiuk, Ireneusz Chojnicki, Maciej Jaworski, Radoslaw Steffek, Mariusz Juscinski, Jacek Zabolska, Irena Sendrowska, Aneta Gierat-Haponiuk, Katarzyna Case Report We report a case of an 8-month-old girl admitted to the Department of Paediatric Cardiac Surgery, Pomeranian Centre of Traumatology in Gdansk with migration of an Amplatzer Duct Occluder II device (AGA Med. Corp., USA) to the left pulmonary artery after interventional patent arterial duct (PDA) closure. Using a hybrid strategy, we performed a classical surgical closure of the PDA with simultaneous intraoperative miniinvasive catheter removal of the displaced implant from the left pulmonary artery using a muscle bioptome (Cook, EU). The procedure was successful, without any further complications. Percutaneous procedures of PDA closure in small children, although safe and effective, are associated with a risk of accompanying complications, especially in patients with inconvenient anatomy. Our strategy demonstrates that a miniinvasive hybrid strategy could be beneficial for the patient with implant PDA migration after a failed interventional procedure. We strictly maintain the practice of qualifying these borderline patients with great care to avoid predictable complications, and to provide immediate surgical support in any emergency, following modern models of cooperation between cardiologists and cardiac surgeons in hybrid heart teams. A modern strategy that combines miniinvasive cardiac surgery with interventional techniques provides new, effective algorithms for selective difficult clinical settings. Termedia Publishing House 2012-05-29 2012-08 /pmc/articles/PMC3516986/ /pubmed/23256027 http://dx.doi.org/10.5114/wiitm.2011.27367 Text en Copyright © 2012 Sekcja Wideochirurgii TChP http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Haponiuk, Ireneusz
Chojnicki, Maciej
Jaworski, Radoslaw
Steffek, Mariusz
Juscinski, Jacek
Zabolska, Irena
Sendrowska, Aneta
Gierat-Haponiuk, Katarzyna
spellingShingle Haponiuk, Ireneusz
Chojnicki, Maciej
Jaworski, Radoslaw
Steffek, Mariusz
Juscinski, Jacek
Zabolska, Irena
Sendrowska, Aneta
Gierat-Haponiuk, Katarzyna
Miniinvasive hybrid procedure for device migration after percutaneous closure of persistent arterial duct: a case report
author_facet Haponiuk, Ireneusz
Chojnicki, Maciej
Jaworski, Radoslaw
Steffek, Mariusz
Juscinski, Jacek
Zabolska, Irena
Sendrowska, Aneta
Gierat-Haponiuk, Katarzyna
author_sort Haponiuk, Ireneusz
title Miniinvasive hybrid procedure for device migration after percutaneous closure of persistent arterial duct: a case report
title_short Miniinvasive hybrid procedure for device migration after percutaneous closure of persistent arterial duct: a case report
title_full Miniinvasive hybrid procedure for device migration after percutaneous closure of persistent arterial duct: a case report
title_fullStr Miniinvasive hybrid procedure for device migration after percutaneous closure of persistent arterial duct: a case report
title_full_unstemmed Miniinvasive hybrid procedure for device migration after percutaneous closure of persistent arterial duct: a case report
title_sort miniinvasive hybrid procedure for device migration after percutaneous closure of persistent arterial duct: a case report
description We report a case of an 8-month-old girl admitted to the Department of Paediatric Cardiac Surgery, Pomeranian Centre of Traumatology in Gdansk with migration of an Amplatzer Duct Occluder II device (AGA Med. Corp., USA) to the left pulmonary artery after interventional patent arterial duct (PDA) closure. Using a hybrid strategy, we performed a classical surgical closure of the PDA with simultaneous intraoperative miniinvasive catheter removal of the displaced implant from the left pulmonary artery using a muscle bioptome (Cook, EU). The procedure was successful, without any further complications. Percutaneous procedures of PDA closure in small children, although safe and effective, are associated with a risk of accompanying complications, especially in patients with inconvenient anatomy. Our strategy demonstrates that a miniinvasive hybrid strategy could be beneficial for the patient with implant PDA migration after a failed interventional procedure. We strictly maintain the practice of qualifying these borderline patients with great care to avoid predictable complications, and to provide immediate surgical support in any emergency, following modern models of cooperation between cardiologists and cardiac surgeons in hybrid heart teams. A modern strategy that combines miniinvasive cardiac surgery with interventional techniques provides new, effective algorithms for selective difficult clinical settings.
publisher Termedia Publishing House
publishDate 2012
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516986/
_version_ 1611938839766499328

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