ABSTRACT
As the use of percutaneous intervention is increasing for the closure of the atrial septal defect, the procedure related complications are also on rise, migration of the device being most common. The migrated devices with failed percutaneous retrieval must be removed surgically under cardiopulmonary bypass. During establishment of cardiopulmonary bypass, the handling of heart may cause further migration of the device into other chambers of heart which leads to difficulty in finding and retrieval of the device. The authors propose a simple and unique technique to prevent further migration of the septal occluder device.
Subject(s)
Cardiac Surgical Procedures/methods , Foreign-Body Migration/surgery , Septal Occluder Device , Suture Techniques , Foreign-Body Migration/etiology , Humans , Prosthesis FailureABSTRACT
As the use of percutaneous intervention is increasing for closure of the patent ductus arteriosus, procedure-related complications are also on the rise. An Amplatzer duct occluder used in a 4-year-old child was dislodged into the right pulmonary artery. It was removed through median sternotomy by temporarily occluding the right pulmonary artery.
Subject(s)
Cardiac Catheterization/instrumentation , Device Removal , Ductus Arteriosus, Patent/therapy , Foreign-Body Migration/surgery , Pulmonary Artery/surgery , Septal Occluder Device , Vascular Surgical Procedures , Cardiac Catheterization/adverse effects , Cardiopulmonary Bypass , Child, Preschool , Female , Foreign-Body Migration/diagnostic imaging , Foreign-Body Migration/etiology , Humans , Prosthesis Design , Pulmonary Artery/diagnostic imaging , Radiography , Sternotomy , Treatment OutcomeABSTRACT
We report a case of an elderly man who suffered an acute myocardial infarction (MI) with the complication of a post-MI ventricular septal defect (VSD). Situs inversus with dextrocardia was diagnosed during the course of hospitalization. Total myocardial revascularization was achieved using saphenous vein conduits. The VSD was approached through the right ventricle and repaired with a polytetrafluoroethylene patch. Although several cases of coronary artery bypass grafting (CABG) in the presence of dextrocardia have been reported in the literature, this is the first case of repair of a post-MI VSD along with CABG.
Subject(s)
Coronary Artery Bypass , Dextrocardia/complications , Saphenous Vein/transplantation , Situs Inversus/complications , Suture Techniques , Ventricular Septal Rupture/surgery , Aged , Dextrocardia/diagnosis , Humans , Male , Situs Inversus/diagnosis , Treatment Outcome , Ventricular Septal Rupture/complications , Ventricular Septal Rupture/diagnosisABSTRACT
A simple, inexpensive, and easy-to-use method for exposure of the left internal mammary artery is described. Two blades of the conventional four-blade sternal spreader hooking the Adson forceps, which passes through the loops of sternal wires, provides excellent exposure of the IMA. The same retractor is used for the rest of the procedure.
Subject(s)
Coronary Artery Bypass/methods , Mammary Arteries/surgery , Myocardial Revascularization/methods , Tissue and Organ Harvesting/methods , Humans , Sternum/surgery , Surgical Instruments , Tissue and Organ Harvesting/instrumentationABSTRACT
Because the use of percutaneous intervention is increasing for the closure of the patent ductus arteriosus, the procedure-related complications are also on rise, with migration of the device being most common. The routine practice is to remove the migrated duct occluder device under cardiopulmonary bypass. Amplatzer duct occluder used in a 4-month-old infant dislodged into the descending thoracic aorta. It was removed by the posterolateral thoracotomy under mild hypothermia through juxtaductal aortotomy between the aortic cross-clamps. The use of cardiopulmonary bypass is thus avoided.
