Ozan ERBASAN, Nursel ŞAHİN, Hanife KABUKCU, Tülin TİTİZ AYDOĞDU

Transkateter yöntem ile yerleştirilen atriyal septal defekt cihazının sağ atriyuma yer değiştirmesi sonrası acil cerrahi yaklaşım

Atriyal septal defekt (ASD) çocuklarda yaygın görülenbir doğuştan kalp hastalığı iken yetişkinlerde en sıkgörülen doğuştan kalp hastalığıdır. Altmış üç yaşındakadın hastaya 32 mm Amplatzer septal okluder ileperkütan ASD kapama uygulandı. Perkütan girişimdenbir saat sonra atriyal aritmi saptandı ve ekokardiyografikincelemede ADS kapama cihazının sağ atriyuma yerdeğiştirdiği görüldü. Bu yazıda, perkütan ASD kapatmaişlemi sonrasında ASD kapama cihazının sağ atriyumayer değiştirmesi başarılı cerrahi tedavisi ve anestezikyönetimi sunuldu.

Emergency surgical approach for atrial septal defect device migration into right atrium after transcatheter closure of atrial septal defect

While atrial septal defect (ASD) is a common congenital heartdisease in children, it is the most common congenital heartdisease in adults. Percutaneous closure of ASD with 32 mmAmplatzer septal occluder was performed to a 63-year-oldfemale patient. One hour after the percutaneous intervention,atrial arrhythmias were detected, and echocardiographicexamination showed migration of the ASD closure device intoright atrium. In this article, we report the successful surgicaltreatment and anesthetic management of the migration ofASD closure device into right atrium after percutaneous ASDclosure procedure.

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