Delayed occluder displacement following patent ductus arteriosus closure successfully managed with thoracic endovascular aortic repair: a case report and literature review

J Cardiothorac Surg. 2025 Jan 7;20(1):37. doi: 10.1186/s13019-024-03334-1.

Abstract

Interventional occlusion of Patent ductus arteriosus (PDA) is generally efficacious and complications such as delayed occluder displacement are infrequent. Herein, we report a case of 24-year-old female with a history of unsuccessful PDA closures, who subsequently experienced delayed occluder displacement into the left main pulmonary artery. Despite numerous unsuccessful catheter-based interventions, thoracic endovascular aortic repair (TEVAR) was successfully executed. This procedure effectively resolved the PDA without any postprocedural complications. This case highlights the efficacy and safety of TEVAR as a viable alternative for managing complex PDA cases involving occluder displacement.

Keywords: Late complications; Patent ductus arteriosus; Thoracic endovascular aortic repair.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aorta, Thoracic* / surgery
  • Cardiac Catheterization / methods
  • Ductus Arteriosus, Patent* / surgery
  • Endovascular Aneurysm Repair
  • Endovascular Procedures* / methods
  • Female
  • Humans
  • Septal Occluder Device*
  • Young Adult