Resolution of Heart Block After Surgical Removal of an Amplatzer Device

A large secundum atrial septal defect in a 4-year-old child was closed by percutaneous placement of an Amplatzer septal occluder (AGA Medical Corporation, Plymouth, MN). After device placement, complete heart block developed that did not resolve after 3 days of medical management. The patient subseq...

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Veröffentlicht in:	The Annals of thoracic surgery 2010-05, Vol.89 (5), p.1631-1633
Hauptverfasser:	Clark, Joseph B., MD, Chowdhury, Devyani, MD, Pauliks, Linda B., MD, Weber, Howard S., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiac Catheterization - methods Cardiac dysrhythmias Cardiology. Vascular system Cardiothoracic Surgery Child, Preschool Device Removal - methods Electrocardiography Follow-Up Studies Heart Heart Block - etiology Heart Block - surgery Heart Septal Defects, Atrial - diagnostic imaging Heart Septal Defects, Atrial - surgery Humans Medical sciences Minimally Invasive Surgical Procedures - methods Pneumology Prosthesis Failure Risk Assessment Septal Occluder Device - adverse effects Surgery Thoracotomy - methods Treatment Outcome Ultrasonography, Doppler
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Zusammenfassung:	A large secundum atrial septal defect in a 4-year-old child was closed by percutaneous placement of an Amplatzer septal occluder (AGA Medical Corporation, Plymouth, MN). After device placement, complete heart block developed that did not resolve after 3 days of medical management. The patient subsequently underwent surgical removal of the device and suture closure of the atrial septal defect. The patient recovered conduction after the operation. We report the successful treatment of device-induced heart block with surgical removal of the device.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2009.09.089