Dionisio Felipe Carrasco Ferreira, da Silva Pedro Henrique Amaral Ângelo, Moreira Bruno Lima, Medeiros Augusto Kreling
Associação Beneficente Síria, Hospital do Coração - HCor, São Paulo, SP, Brasil.
Hospital DF Star Rede D'Or, Brasília, DF, Brasil.
J Vasc Bras. 2025 Jul 28;24:e20240106. doi: 10.1590/1677-5449.202401062. eCollection 2025.
Atrial septal defect (ASD) is a common cardiac defect with significant implications if left untreated. Although open heart surgery is the traditional approach, transcatheter closure devices, such as the Amplatzer™ Septal Occluder Device, have gained prominence due to advantages like shorter hospital stays and reduced costs. Among potential complications, device migration is a rare complication, with an incidence of 0.5 to 1.1%. We report a rare case of migration of an Amplatzer™ device in an asymptomatic patient, diagnosed 6 months after its implantation. After detecting the issue, the medical team opted for percutaneous device removal followed by open surgery to correct the ASD. In conclusion, managing Amplatzer™ device embolization requires careful consideration of the patient's circumstances and device anatomy. This case highlights the importance of correlating clinical and imaging findings when selecting the management approach and assessing the feasibility of a less invasive approach in cases of late migration.
房间隔缺损（ASD）是一种常见的心脏缺陷，如果不治疗会产生重大影响。虽然心脏直视手术是传统的治疗方法，但经导管封堵装置，如Amplatzer™房间隔封堵器，由于住院时间短和成本降低等优势而受到关注。在潜在并发症中，装置移位是一种罕见的并发症，发生率为0.5%至1.1%。我们报告了一例罕见的病例，一名无症状患者植入Amplatzer™装置6个月后被诊断出装置移位。发现问题后，医疗团队选择经皮取出装置，随后进行心脏直视手术以纠正ASD。总之，处理Amplatzer™装置栓塞需要仔细考虑患者的情况和装置解剖结构。该病例突出了在选择治疗方法以及评估晚期移位病例中采用微创方法的可行性时，将临床和影像学检查结果相关联的重要性。
