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Vol 13, No 5 (2018)
Cardiac Surgery
Published online: 2018-12-06

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Early device migration to the pulmonary artery after percutaneous patent ductus arteriosus closure in a neonate

Karolina Andrzejczyk12, Maciej Chojnicki1, Julia Haponiuk13, Mariusz Steffens1, Konrad Paczkowski1, Katarzyna Gierat-Haponiuk14, Anna Romanowicz1, Marta Paśko-Majewska1, Wiktor Szymanowicz1, Ireneusz Haponiuk14
Folia Cardiologica 2018;13(5):481-484.

Abstract

Device displacement with pulmonary artery embolisation (PDA) is a rare complication after percutaneous closure of
a patent arterial duct. An 11-day old neonate with PDA was admitted to the Department of Paediatric Cardiac Surgery for
treatment. The newborn was qualified for a transcatheter closure of PDA. Device displacement to the pulmonary artery
was observed during the procedure. The patient was qualified for a surgical procedure of PDA closure, with removal of
the implant via midline sternotomy to provide an additional safeguard with extracorporeal circulation. The procedure and
early postoperative course were uneventful. The patient was discharged home in good general condition.
Interventional cardiology can provide effective minimally-invasive solutions for congenital heart disease treatment, but
there is always a risk of potentially life-threatening complications.

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