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Migration of Amplatzer Septal Occluder to the Deep Aortic Arch in a Patient With Multiple Anatomic Anomalies  Tomohiro Saito, MD, Volker Düsterhöft, MD,

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Presentation on theme: "Migration of Amplatzer Septal Occluder to the Deep Aortic Arch in a Patient With Multiple Anatomic Anomalies  Tomohiro Saito, MD, Volker Düsterhöft, MD,"— Presentation transcript:

1 Migration of Amplatzer Septal Occluder to the Deep Aortic Arch in a Patient With Multiple Anatomic Anomalies  Tomohiro Saito, MD, Volker Düsterhöft, MD, PhD, Roland Hetzer, MD, PhD  The Annals of Thoracic Surgery  Volume 100, Issue 1, Pages (July 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Computed tomography scan in sagittal section demonstrates the Amplatzer septal occluder (AGA Medical Corp, Golden Valley, MN) device (arrow) located between the brachiocephalic trunk and left common carotid artery. (B and C) Transesophageal echocardiogram with color Doppler imaging demonstrates the highly dynamic motion of the atrial septum rims (arrows). (LA = left atrium: RA = right atrium.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Intraoperative findings of atrial septal defect through a right atriotomy. The fenestrated primum septum lies behind the secundum septum (arrow). The posterior and inferior septal rim is thin and short (arrowhead). (B) The migrating Amplatzer septal occluder (AGA Medical Corp, Golden Valley, MN) device was approached through the ascending transverse aortotomy in a head-down position and (C) was successfully removed from the aortic arch. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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