Reference manufacturing report 2135147-2020-00149 on (b)(6) 2020, a 5-2 amplatzer piccolo was selected for implant in a (b)(6) days old (b)(6) kg baby.The pda has the following dimensions: minimal diameter: 2.63, aortic ampulla: 4.19, length: 9.74.The device placement is intraductal.Pre deployment the device appeared to be in good position.Post deployment it was noted the device shifted toward the pulmonary artery.The device remained stable but was causing some left pulmonary artery stenosis.The device was attempted to be snared, but an effusion was noted.The effusion was drained and the patient was given blood transfusion to maintain hemostability.Another attempt was made to snare the 5-2 device with a 5mm gooseneck, but the device would not recapture into the 4f delivery catheter.The procedure was aborted.The patient is currently stable and the device is in a stable position.The duct is occluded, but there is still left pulmonary artery stenosis, causing some obstruction of flow.The device remains implanted.The patient will be monitored to determine if additional intervention is needed.
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