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Aortic migration of Amplatzer Piccolo™ ductal Occluder

Published online by Cambridge University Press:  24 February 2022

Prashant K. Minocha*
Affiliation:
Department of Pediatric Cardiology, Department of Pediatrics, Hassenfeld Children’s Hospital, NYU Langone Health, New York, NY, USA
Nicole Sutton
Affiliation:
Department of Pediatric Cardiology, Department of Pediatrics, Montefiore Medical Center, New York, NY, USA
Maya T. Crawford
Affiliation:
Department of Congenital Cardiothoracic Surgery, Hassenfeld Children’s Hospital, NYU Langone Health, New York, NY, USA
David Williams
Affiliation:
Department of Congenital Cardiothoracic Surgery, Hassenfeld Children’s Hospital, NYU Langone Health, New York, NY, USA
Michelle Ramirez
Affiliation:
Division of Pediatric Critical Care, Department of Pediatrics, Hassenfeld Children’s Hospital, NYU Langone Health, New York, NY, USA
Sujata Chakravarti
Affiliation:
Department of Pediatric Cardiology, Department of Pediatrics, Hassenfeld Children’s Hospital, NYU Langone Health, New York, NY, USA
Ralph Mosca
Affiliation:
Department of Congenital Cardiothoracic Surgery, Hassenfeld Children’s Hospital, NYU Langone Health, New York, NY, USA
T. K. Susheel Kumar
Affiliation:
Department of Congenital Cardiothoracic Surgery, Hassenfeld Children’s Hospital, NYU Langone Health, New York, NY, USA
*
Author for correspondence: P. K. Minocha, MD, Department of Pediatric Cardiology, NYU Langone Health, New York, NY 10016, USA. Tel: 212-263-3079; Fax: 212-263-8301. E-mail: Prashant.minocha@nyulangone.org

Abstract

We present the case of a 4-month-old, former 23-week premature baby who underwent patent ductus arteriosus device closure in the cardiac catheterisation lab with an Amplatzer Piccolo™ device at 12 weeks of life. This was complicated by late migration of the device into the aorta resulting in severe obstruction and requiring surgical intervention.

Type
Brief Report
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

Sathanandam, SK, Gutfinger, D, Brien, LO, et al. Amplatzer Piccolo Occluder clinical trial for percutaneous closure of the patent ductus arteriosus in patients ≥ 700 grams. Catheter Cardiovasc Interv 2020; 96: 111.CrossRefGoogle ScholarPubMed
Ogando, RA, Asensio, PI, Sanchez de la Blanca, RA, Martı, JLZ. Surgical ligation versus percutaneous closure of patent ductus arteriosus in very low-weight preterm infants: which are the real benefits of the percutaneous approach? Pediatr Cardiol 2018; 39: 398410.CrossRefGoogle Scholar
Sathanandam, S, Dalduf, K, Chilakala, S, et al. Role of transcatheter patent ductus arteriosus closure in extremely low birth weight infants. Catheter Cardiovasc Interv 2019; 93: 8996.CrossRefGoogle ScholarPubMed
Chien, Y, Wang, H, Lin, M, et al. Device deformation and left pulmonary artery obstruction after transcatheter patent ductus arteriosus closure in preterm infants. Int J Cardiol 2020; 312: 5055. DOI 10.1016/j.ijcard.2020.02.065.CrossRefGoogle ScholarPubMed
Malekzadeh-milani, S, Akhavi, A, Douchin, S, Dauphin, C. Percutaneous closure of patent ductus arteriosus in premature infants: a French national survey. Catheter Cardiovasc Interv 2020; 95: 7177.CrossRefGoogle ScholarPubMed
Tomasulo, CE, Munson, D, Dori, Y, et al. Incidence and fate of device-related left pulmonary artery stenosis and aortic coarctation in small infants undergoing transcatheter patent ductus arteriosus closure. Catheter Cardiovasc Interv 2020; 96: 889897.CrossRefGoogle ScholarPubMed
Sathanandam, S, Gutfinger, D, Morray, B, et al. Consensus guidelines for the prevention and management of periprocedural complications of transcatheter patent ductus arteriosus closure with the Amplatzer Piccolo Occluder in extremely low birth weight infants. Pediatr Cardiol 2021; 42: 12581274. DOI 10.1007/s00246-021-02665-3.CrossRefGoogle ScholarPubMed