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J Thorac Cardiovasc Surg 2006;131:909-910
© 2006 The American Association for Thoracic Surgery
Brief Communication |
a Department of Cardiothoracic Surgery, St George's Hospital, London, United Kingdom.
b Department of Cardiology, St George's Hospital, London, United Kingdom.
Received for publication November 28, 2005; accepted for publication December 9, 2005. * Address for reprints: Marjan Jahangiri, FRCS, Department of Cardiothoracic Surgery, St George's Hospital, Blackshaw Rd, London SW17 0QT, United Kingdom. (Email: marjan.jahangiri@stgeorges.nhs.uk).
| The first 20% of the full text of this article appears below. |
The Amplatzer Septal Occluder (ASO; AGA Medical) has been in clinical use since 1996
1
and is associated with few complications and excellent short-term and midterm results.
2
We report a case of late embolization of an ASO into the descending thoracic aorta, which was managed surgically by means of simultaneous device retrieval from the descending aorta and atrial septal defect (ASD) closure through a median sternotomy.
Clinical Summary
A 37-year-old woman was investigated for recurrent symptoms after previous successful transcatheter closure of a complex secundum ASD. She had presented 4 years previously with palpitations, dizzy spells, and blackouts. On that occasion, she was given a diagnosis of 2 secundum ASDs. These were closed percutaneously in December 2002 with 2 ASOs with diameters of 16 and 13 mm, respectively. These
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