Case report
Aortic obstruction caused by device occlusion of patent arterial
duct
C Duke, K C Chan
Department of
Paediatric Cardiology, Glenfield Hospital NHS Trust, Groby Road,
Leicester LE23 9QP, UK
Correspondence to: Dr Duke.
Accepted for publication 7 October 1998
A 2 year old girl is reported in whom deployment of the
Amplatzer ductal occluder caused significant aortic obstruction,
requiring surgical removal of the device. This case emphasises the need for careful echocardiographic and angiographic assessment of the position of the Amplatzer ductal occluder before and after detaching the device from its delivery system, with particular emphasis on the
position of the aortic retention ring. Careful assessment of ductal
anatomy must guide case selection.
Keywords: interventional catheterisation; Amplatz ductal occluder; coarctation of the aorta; congenital heart disease
© 1999 by Heart
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