Long-term failure of Amplatzer plugs in the treatment of aortic pathology

J Card Surg. 2017 Jul;32(7):426-429. doi: 10.1111/jocs.13166. Epub 2017 Jun 23.

Abstract

We present two cases of Amplatzer® device deployment that exhibited long-term failure necessitating surgical correction. The first case illustrates recanalization of a ruptured Valsalva aneurysm with worsening aortic insufficiency after percutaneous repair with the Amplatzer Vascular Plugs and Amplatzer duct occluder, while the second case illustrates recanalization after deployment of the Amplatzer septal occluder in a patient with a pseudoaneursym in a bovine aorta after type I aortic dissection repair. These two cases illustrate the potential long-term complications and limitations in durability with these devices.

MeSH terms

  • Aged
  • Aneurysm, False / etiology*
  • Aneurysm, False / surgery*
  • Aorta / surgery*
  • Aortic Dissection / surgery
  • Aortic Rupture / surgery*
  • Aortic Valve Insufficiency / etiology
  • Aortic Valve Insufficiency / surgery*
  • Bioprosthesis
  • Blood Vessel Prosthesis Implantation
  • Equipment Failure*
  • Humans
  • Male
  • Middle Aged
  • Reoperation
  • Septal Occluder Device / adverse effects*
  • Sinus of Valsalva / surgery*
  • Time Factors