Abdominal aortic embolization of a Figulla atrial septum occluder device, at the level of the celiac axis, after an atrial septal defect closure: hybrid attempt

Vascular. 2010 Jan-Feb;18(1):59-61. doi: 10.2310/6670.2009.00026.

Abstract

A 41-year-old woman was treated with a Figulla (Occlutec, Helsingborg, Sweden) atrial septum occluder device with no intraprocedural complications. Five months later, dislocation of the device in the abdominal aorta was detected. The occluder device was located at the level of the celiac axis, nearly obstructing the entire aorta. Owing to total incorporation of the device, endoluminal retrieval was not possible. Through a medial rotation approach, the device was safely removed. This is a rare complication after endoluminal closure of an atrial septum defect. The retrieval possibilities are discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aorta, Abdominal / diagnostic imaging
  • Aorta, Abdominal / surgery*
  • Aortic Diseases / diagnostic imaging
  • Aortic Diseases / etiology
  • Aortic Diseases / therapy*
  • Aortography / methods
  • Cardiac Catheterization / adverse effects
  • Cardiac Catheterization / instrumentation*
  • Catheterization, Peripheral*
  • Device Removal
  • Embolism / diagnostic imaging
  • Embolism / etiology
  • Embolism / surgery
  • Embolism / therapy*
  • Female
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / etiology
  • Foreign-Body Migration / surgery
  • Foreign-Body Migration / therapy*
  • Heart Septal Defects, Atrial / therapy*
  • Humans
  • Septal Occluder Device*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Surgical Procedures*