Przemieszczenie implantu do gałęzi tętnicy płucnej jako wczesne powikłanie przezskórnego zamknięcia przetrwałego przewodu tętniczego u noworodka

Device displacement with pulmonary artery embolisation (PDA) is a rare complication after percutaneous closure of a patent arterial duct. An 11-day old neonate with PDA was admitted to the Department of Paediatric Cardiac Surgery for treatment. The newborn was qualified for a transcatheter closure of PDA. Device displacement to the pulmonary artery was observed during the procedure. The patient was qualified for a surgical procedure of PDA closure, with removal of the implant via midline sternotomy to provide an additional safeguard with extracorporeal circulation. The procedure and early postoperative course were uneventful. The patient was discharged home in good general condition. Interventional cardiology can provide effective minimally-invasive solutions for congenital heart disease treatment, but there is always a risk of potentially life-threatening complications.