An attempt to retrieve an embolized ductal closure device leading to iliac artery dissection in an 11-month-old child: A case report

Emrah Şişli

doi:10.5606/tgkdc.dergisi.2019.16753

Emrah Şişli¹, Serdar Epçaçan²

¹Department of Pediatric Cardiovascular Surgery, University of Health Sciences, Van Training and Research Hospital, Van, Turkey
²Department of Pediatric Cardiology, University of Health Sciences, Van Training and Research Hospital, Van, Turkey

DOI : 10.5606/tgkdc.dergisi.2019.16753

An 11-month-old patient was referred with the diagnosis of Amplatzer duct occluder II embolization to the right common iliac artery during transcatheter patent ductus arteriosus closure procedure, and unsuccessful retrieval. Following extraction of the device through median laparotomy, a graft interposition was compulsorily performed due to right common iliac artery dissection. Transcatheter device occlusion of patent ductus arteriosus with low complication rates has become the preferred treatment modality in children. However, insisting on transcatheter retrieval of an occluder device should be avoided, as the outcomes can be devastating including limb loss, death or need for multiple surgical and/or endovascular procedures in the future.

Keywords : Ductus arteriosus; embolism; patent; vascular closure devices; vascular system injuries

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