Skip Navigation LinksHome > July/August 2010 - Volume 5 - Issue 4 > Surgical Removal of Duct Occluder Device Under Mild Hypother...
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Innovations: Technology & Techniques in Cardiothoracic & Vascular Surgery:
doi: 10.1097/IMI.0b013e3181f01fa1
How-To-Do-It

Surgical Removal of Duct Occluder Device Under Mild Hypothermia Without Cardiopulmonary Bypass

Mohite, Prashant N. MS*; Kuthe, Sachin A. MCh*; Thingnam, Shyam K. MCh*; Rohit, Manoj K. DM†; Mahajan, Sachin MCh*; Mahajan, Rajiv DM†

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Abstract

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.

© 2010 Lippincott Williams & Wilkins, Inc.

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