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10.5606/tgkdc.dergisi.2013.5441
A rare complication of patent ductus arteriosus coil occlusion involving a foreign body migrating rapidly from the femoral vein to the right ventricle
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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