A rare complication of patent ductus arteriosus coil occlusion involving a foreign body migrating rapidly from the femoral vein to the right ventricle

doi:10.5606/tgkdc.dergisi.2013.5441

Süreyya Talay, Derih Ay, Bilgehan Erkut

Department of Cardiovascular Surgery, Erzurum Region Education and Research Hospital, Erzurum, Turkey

DOI : 10.5606/tgkdc.dergisi.2013.5441

In this article, we report a four-year-girl case with a complication of patent ductus arteriosus (PDA) during coil occlusion. Coil as a foreign body was reported by the attempting invasive pediatrist to separate from its device which served to connect the ends of adjacent parts at the initial phase of femoral vein application. Preoperative radiological scopy in the operating room demonstrated the coil which migrated from iliac vein to right ventricle during short transport time. Patient underwent an emergent aortobicaval cannulation with sternotomy and removal of the coil under cardiac arrest via right atriotomy. Iatrogenic foreign body embolization is a potentially fatal complication of percutaneous treatment approaches of congenital heart defects. Consequently, we strongly advocate that these percutaneous techniques can only be performed in circumstances with backup possibilities by cardiovascular surgeons.

Keywords : Aortobicaval cannulation; coil embolization; foreign boby removal; patent ductus arteriosus

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