Embolization of an Amplatzer atrial septal closure device to the pulmonary artery

Bruno Chiappini, Renato Gregorini, Mauro Di Eusanio, Marco Ciocca, Carmine Villani, Ugo Minuti, Raffaele Giancola, Franco Prosperi, Licia Petrella, Saro Paparoni, Alessandro Mazzola

Research output: Contribution to journalArticlepeer-review


A 44-year-old woman with a history of transient ischemic attack underwent closure of atrial septal defect with a 26 mm Amplatzer device. The device was released without residual shunt or impingement on intracardiac structures. Within seconds, the transesophageal echocardiography showed the initial dislodgement of the device from the atrial septum and its consequent slipping back into the right atrium close to the tricuspid valve. Soon after the device disappeared from the right atrium and it could be founded into the right ventricle under the tricuspid valve. The patient was transferred in the operating room for an emergency operation. The device could not be found in the right ventricle because its downstream migration. The Amplatzer septal occluder was identified by palpation into the pulmonary artery trunk: it was retrieved from the right ventricle through the pulmonary valve and the atrial septal defect was closed by running suture.

Original languageEnglish
Pages (from-to)164-167
Number of pages4
JournalJournal of Cardiac Surgery
Issue number2
Publication statusPublished - Mar 2008

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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