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Completely endoscopic removal of a dislocated Amplatzer atrial septal defect closure device

^a Department of Cardiac Surgery, Innsbruck Medical University, A-6020 Innsbruck, Austria
^b Department of Cardiology, Innsbruck Medical University, Austria

*Corresponding author. Tel.: +43 512 504 80631/23806; fax: +43 512 504 22528.

E-mail address: johannes.o.bonatti{at}i-med.ac.at (J. Bonatti).

Surgical treatment of residual shunts after transcatheter occlusion of atrial septal defect or patent foramen ovale is reported in approximately one to two percent of these percutaneous interventions. Minimally invasive surgery on the atrial septum is getting more and more common but little data is available on Amplatzer device explantation through limited access. No completely endoscopic device removal has been described previously. We report a case of a 57-year-old woman in whom an Amplatzer device was removed in a robotic totally endoscopic fashion through ports only using the daVinci telemanipulation system.

Key Words: Atrial septal defect; Persistent foramen ovale; Closure device; Removal; Endoscopic surgery; Robotic surgery