{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T01:55:47Z","timestamp":1774490147268,"version":"3.50.1"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T00:00:00Z","timestamp":1734652800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T00:00:00Z","timestamp":1734652800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Egypt Heart J"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Patent ductus arteriosus (PDA) is a congenital heart defect that requires closure to prevent complications like heart failure and pulmonary hypertension. Catheter-based closure using devices such as the Amplatzer duct occluder is the preferred method due to its minimally invasive nature. However, device embolization is a rare but recognized complication, particularly in small children or high-flow PDAs.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We report a rare and complex case of spontaneous embolization of a PDA closure device into the descending aorta in an 11-month-old female. The patient, with a history of recurrent lower respiratory tract infections and poor weight gain, underwent a PDA closure procedure after a thorough assessment. During the procedure, the Amplatzer Duct Occluder I device unexpectedly migrated into the descending aorta. Despite initial attempts at percutaneous retrieval using a goose neck snare, the device lodged in the left common iliac artery due to size discrepancy. Further snaring was abandoned to prevent the risk of artery dissection. The patient was then taken for emergency surgical exploration. The cardiovascular surgical team successfully retrieved the device through a left supra-inguinal incision, with no complications post-surgery. The patient showed improved limb perfusion and was discharged one week later.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This case underscores the importance of meticulous procedural planning, multidisciplinary collaboration, and adaptive decision-making in managing rare and challenging complications during PDA device closure. The successful outcome, despite the complex nature of the complication, highlights the effectiveness of combining percutaneous and surgical approaches in pediatric cardiology. <\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s43044-024-00595-y","type":"journal-article","created":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T14:23:01Z","timestamp":1734704581000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Retrieval of patent ductus arteriosus device embolization using hybrid approach: a case report"],"prefix":"10.1186","volume":"76","author":[{"given":"Uma Devi","family":"Karuru","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadanand Reddy","family":"Tummala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5484-0918","authenticated-orcid":false,"given":"T.","family":"Naveen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sai Kumar","family":"Mysore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiran Kumar","family":"Kanjerla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,12,20]]},"reference":[{"key":"595_CR1","doi-asserted-by":"publisher","first-page":"1135","DOI":"10.1002\/ccd.27212","volume":"90","author":"SL Kang","year":"2017","unstructured":"Kang SL, Jivanji S, Mehta C, Tometzki AJ, Derrick G, Yates R et al (2017) Outcome after transcatheter occlusion of patent ductus arteriosus in infants less than 6\u00a0kg: a national study from United Kingdom and Ireland. Catheter Cardiovasc Interv 90:1135\u20131144","journal-title":"Catheter Cardiovasc Interv"},{"key":"595_CR2","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1002\/1522-726X(200009)51:1<50::AID-CCD11>3.0.CO;2-6","volume":"51","author":"HJ Faella","year":"2000","unstructured":"Faella HJ, Hijazi ZM (2000) Closure of the patent ductus arteriosus with the amplatzer PDA device: immediate results of the international clinical trial. Catheter Cardiovasc Interv 51:50\u201354","journal-title":"Catheter Cardiovasc Interv"},{"key":"595_CR3","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1016\/j.jacc.2004.03.074","volume":"44","author":"RH Pass","year":"2004","unstructured":"Pass RH, Hijazi Z, Hsu DT, Lewis V, Hellenbrand WE (2004) Multicenter USA amplatzer patent ductus arteriosus occlusion device trial: initial and one-year results. J Am Coll Cardiol 44:513\u2013519","journal-title":"J Am Coll Cardiol"},{"key":"595_CR4","doi-asserted-by":"publisher","first-page":"484","DOI":"10.3346\/jkms.2007.22.3.484","volume":"22","author":"GY Jang","year":"2007","unstructured":"Jang GY, Son CS, Lee JW, Lee JY, Kim SJ (2007) Complications after transcatheter closure of patent ductus arteriosus. J Korean Med Sci 22:484\u2013490","journal-title":"J Korean Med Sci"},{"key":"595_CR5","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1111\/j.1540-8191.2011.01249.x","volume":"26","author":"MM Amanullah","year":"2011","unstructured":"Amanullah MM, Siddiqui MT, Khan MZ, Atiq MA (2011) Surgical rescue of embolized amplatzer devices. J Card Surg 26:254\u2013258","journal-title":"J Card Surg"},{"issue":"1","key":"595_CR6","doi-asserted-by":"publisher","first-page":"111","DOI":"10.5606\/tgkdc.dergisi.2019.16753","volume":"27","author":"E \u015ei\u015fli","year":"2019","unstructured":"\u015ei\u015fli E, Ep\u00e7a\u00e7an S (2019) An attempt to retrieve an embolized ductal closure device leading to iliac artery dissection in an 11-month-old child: a case report. Turk J Thorac Cardiovasc Surg 27(1):111","journal-title":"Turk J Thorac Cardiovasc Surg"},{"issue":"9","key":"595_CR7","doi-asserted-by":"publisher","first-page":"1597","DOI":"10.1017\/S1047951122002864","volume":"33","author":"T Fujii","year":"2023","unstructured":"Fujii T, Sugiyama H, Kanazawa H, Hara H, Muneuchi J, Yazaki S (2023) Transcatheter retrieval of atrial septal defect and patent ductus arteriosus occluder: a guidance for device retrieval based on comprehensive bench tests. Cardiol Young 33(9):1597\u20131605","journal-title":"Cardiol Young"}],"container-title":["The Egyptian Heart Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43044-024-00595-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s43044-024-00595-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43044-024-00595-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T15:01:45Z","timestamp":1734706905000},"score":1,"resource":{"primary":{"URL":"https:\/\/tehj.springeropen.com\/articles\/10.1186\/s43044-024-00595-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,20]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["595"],"URL":"https:\/\/doi.org\/10.1186\/s43044-024-00595-y","relation":{},"ISSN":["2090-911X"],"issn-type":[{"value":"2090-911X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,20]]},"assertion":[{"value":"26 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 December 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 December 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written and informed consent for publication of this case report was obtained from the parents of the patient.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publication"}},{"value":"The author(s) declared no potential conflicts of interest with respect to the research, authorship, and\/or publication of this article.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"160"}}