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Open Access Letters to the Editor

Suture fixation of migrated septal occluder device to prevent further migration: a simple surgical technique

Prashant N Mohite12*, Sachin A Kuthe1, Shrirang D Ranade1, Pravin P Kulkarni1, Anton Sabashnikov1 and Aron F Popov23

Author Affiliations

1 Department of Cardiothoracic and Vascular surgery, Postgraduation Institute of Medical Research and Education, Sector- 12, Chandigarh 160012, India

2 Department of Cardiothoracic Transplantation and Mechanical Support, Royal Brompton and Harefield NHS Trust, Hill End Road, UB9 6JH, London, UK

3 Department of Thoracic Cardiovascular Surgery, University of Göttingen, Robert-Koch- Strasse 40, 37099, Göttingen, Germany

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Journal of Cardiothoracic Surgery 2013, 8:10  doi:10.1186/1749-8090-8-10

Published: 16 January 2013

Abstract

As the use of percutaneous intervention is increasing for the closure of the atrial septal defect, the procedure related complications are also on rise, migration of the device being most common. The migrated devices with failed percutaneous retrieval must be removed surgically under cardiopulmonary bypass. During establishment of cardiopulmonary bypass, the handling of heart may cause further migration of the device into other chambers of heart which leads to difficulty in finding and retrieval of the device. The authors propose a simple and unique technique to prevent further migration of the septal occluder device.

Keywords:
Atrial septal defect; Septal occlude device; Transcatheter closure; Migration of occlude device