Percutaneous closure of secundum atrial septal defects may be complicated by immediate or late device embolization. Percutaneous retrieval techniques are usually successful even if sometimes surgery is required. The optimal selection of an atrial septal defect and the choice of appropriate device sizes are fundamental to reduce the incidence of embolization. We describe a case of late device embolization occurring two years after transcatheter atrial septal defect closure and for which percutaneous retrieval was unsuccessfully attempted.
aDivision of Paediatric Cardiology, Ferrarotto Hospital, Catania, Italy
bDepartment of Paediatric Cardiology and Cardiac Surgery, Policlinico San Donato Hospital, San Donato Milanese (MI), Italy
cNational Heart Institute, EsSalud, Lima, Peru
Received 28 September, 2005
Revised 15 November, 2005
Accepted 22 November, 2005
Correspondence to Dr Gian Paolo Ussia, U.O. di Cardiologia Pediatrica, Ospedale Ferrarotto, Via Citelli 1, 95124 Catania, Italy Tel: +39 095 743 6220; fax: +39 095 743 6268; e-mail: firstname.lastname@example.org