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Ann Thorac Surg 2004;78:686-687
© 2004 The Society of Thoracic Surgeons

Case report

Surgical revision of an uncommonly dislocated self-expanding Amplatzer septal occluder device

Nikolaos B. Tsilimingas, MDa*, Beate Reiter, MDa, Yskert V. Kodolitsch, MDb, Thomas Münzel, MDb, Thomas Meinertz, MDb, Thomas Hofmann, MDb

a Clinic of Thoracic and Cardiovascular Surgery, University Hospital Hamburg-Eppendorf, Hamburg, Germany
b Clinic of Cardiology, University Hospital Hamburg-Eppendorf, Hamburg, Germany

Accepted for publication September 5, 2003.

* Address reprint requests to Dr Tsilimingas, Clinic of Thoracic and Cardiovascular Surgery, University Hospital Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany
e-mail: tsilimingas{at}uke.uni-hamburg.de

Open heart surgery is the standard procedure for closure of ostium secundum atrial septal defects. Recently, percutaneous transcatheter procedures emerged as therapeutic alternatives for closure of both atrial septal defects and patent foramen ovale. Unfortunately, however, such percutaneous procedures may require surgical intervention for early or late complications. We report a case with emergent surgery for dislocation of the Amplatzer septal occluder into the aortic arch diagnosed 30 days after percutaneous closure of an atrial septal defect.




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