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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2024; 13(01): e12-e15
DOI: 10.1055/a-2276-9898
Case Report: Cardiac

Minimally Invasive Correction of Failed Percutaneous Atrial Septal Closure with Device Embolization

Vlander Costa   *
1   Department of Cardiac Surgery, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
,
Tulio Caldonazo   *
2   Department of Cardiothoracic Surgery, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany
,
Paola Montanhesi
3   Department of Cardiothoracic Surgery, Israeli Hospital Albert Einstein, Sao Paulo, Brazil
,
Johannes Fischer
2   Department of Cardiothoracic Surgery, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany
,
Murat Mukharyamov
2   Department of Cardiothoracic Surgery, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany
,
Hristo Kirov
2   Department of Cardiothoracic Surgery, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany
,
Torsten Doenst
2   Department of Cardiothoracic Surgery, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany
› Author Affiliations Funding T.C. was funded by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) Clinician Scientist Program OrganAge funding number 413668513, by the Deutsche Herzstiftung (DHS, German Heart Foundation) funding number S/03/23 and by the Interdisciplinary Center of Clinical Research of the Medical Faculty.
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Abstract

We present the case of a minimally invasive surgical correction for failed percutaneous atrial septal defect (ASD) closure in a 57-year-old female patient with residual ASD, tricuspid regurgitation, atrial fibrillation, and embolization of one of two occluders to the superior mesenteric artery. Our surgical approach consisted of anterolateral minithoracotomy, aortic and femoral vein cannulation, cryoablation, cardiac device removal, closure of ASD with autologous pericardium, and tricuspid repair. The procedure was uneventful and patient was discharged home on postoperative day 4.

Keywords

cardiovascular surgery - heart disease - minimally invasive surgery (includes port access - minithoracotomy)

* Authors contributed equally.




Publication History

Received: 15 November 2023

Accepted: 02 January 2024

Accepted Manuscript online:
27 February 2024

Article published online:
15 March 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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