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J Thorac Cardiovasc Surg 2010;139:e28-e29
© 2010 The American Association for Thoracic Surgery

Brief Clinical Report

Late embolization to the aortic arch of an Amplatzer Device used to occlude a baffle leak

Prem Venugopal, MCh, FRCS*, Hazem Fallouh, FRCS, David Anderson, FRCS

Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom

Received for publication March 26, 2008; revisions received June 5, 2008; accepted for publication September 1, 2008.

* Address for reprints: Prem Venugopal, MCh, FRCS, Department of cardiac Surgery, East wing, St Thomas' Hospital, Lambeth Palace Rd, London SE1 7EQ, United Kingdom. (Email: vpremsundar@gmail.com).

The first 20% of the full text of this article appears below.


   Introduction
 
We report a case of late migration to the aortic arch of a percutaneous Amplatzer Septal Occluder Device (AGA Medical Corp, Plymouth, Minn) used to occlude a baffle leak after a Mustard procedure. After an unsuccessful attempt at percutaneous removal of the embolized device from the aortic arch, the device was removed surgically with uncomplicated recovery.


   Clinical Summary
 
A 25-year-old man who underwent a Mustard procedure during infancy for transposition of the great arteries was found to have a significant inferior vena caval pathway baffle leak. This baffle leak was . . . [Full Text of this Article]






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