A 32mm amplatzer septal occluder (aso) was implanted on (b)(6), 2015 without complication.Prior to procedure it was confirmed by echo that the asd measured 28mm and the retro-aortic rim was marginal.A tee taken during and post-implant showed a well-positioned aso.The next day, a tte confirmed device placement; however, approximately six hours later, the patient reported chest pain.An echo obtained at that time revealed the aso had embolized into the right ventricle.The aso was snared and removed using a gooseneck snare.
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The results of this investigation confirmed the 32 mm amplatzer septal occluder met all functional and dimensional specifications when analyzed at sjm.A review of the device history record confirmed the occluder met all visual, dimensional, and functional specifications at the time it was manufactured, prior to shipment.There was no evidence to suggest there was an intrinsic defect in the occluder, and the cause for the embolization remains unknown.
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