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J Thorac Cardiovasc Surg 1996;112:21-26
© 1996 Mosby, Inc.

SURGERY FOR CONGENITAL HEART DISEASE

FAILURE OF DEVICES USED FOR CLOSURE OF ATRIAL SEPTAL DEFECTS: MECHANISMS AND MANAGEMENT

From the Department of Cardiovascular and Thoracic Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

Received for publication Sept. 11, 1995 revisions requested Nov. 6, 1995; revisions received Dec. 11, 1995 Accepted for publication Dec. 13, 1995. Address for reprints: Probal K. Ghosh, MCh, FRCSE, Chairman, Department of Cardiovascular and Thoracic Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Rd., Lucknow, 226 014, India.

Abstract

Various devices for transcatheter ASD closure are undergoing clinical trials. Each new device claims advantages in terms of safety and efficacy over earlier devices. We report three cases in which a new investigational device—the Das angel wings—failed. Emergency operations were necessary for device retrieval and defect closure. The possible mechanisms of the event and the options in management are discussed with a review of literature on all devices. (J THORAC CARDIOVASC SURG1996;112:21-6)

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