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Dislodged occluder trapped in the left ventricle
  1. Po-Yuan Shih1,
  2. Ya-Jung Cheng2,
  3. Chih-Peng Lin2
  1. 1Department of Anesthesiology, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan
  2. 2Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan
  1. Correspondence to Dr Chih-Peng Lin, Department of Anesthesiology, National Taiwan University Hospital, No 7, Chung-Shan South Road, Taipei 100, Taiwan; cplin0123{at}

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A 55-year-old man had mechanical aortic valve replacement for aortic regurgitation. During follow-up, precordial echocardiography revealed paravalvular leak (PVL) and moderate residual aortic regurgitation. Percutaneous closure of the leak was recommended, and Amplatzer® vascular plug (9-PLUG-012, AGA Medical Corporation, Plymouth, MN, USA) was implanted under general anaesthesia with fluoroscopic and transoesophageal echocardiography (TOE) guidance. After the procedure, sudden onset of ventricular …

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  • This work was performed at the National Taiwan University Hospital.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; not externally peer reviewed.