Image of the Issue Embolized Amplatzer septal occluder device presenting with ventricular fibrillation

The Amplatzer septal occluder device is used with high success and low-complication rate. Device embolization occurs in around 0.3–0.55% of cases. We report the case of a 44-year-old man with ventricular fibrillation (VF) due to embolization of Amplatzer septal occluder into the right ventricle, 1 h after the successful closure of secundum ASD with a 26-mm Amplatzer septal occluder device. The patient was immediately defibrillated. Bedside echocardiography revealed a free floating device in transit in the right chambers. Percutaneous retrieval attempt was unsuccessful. He was referred to surgery immediately. To our knowledge, VF has not been reported yet. © 2011 Elsevier Inc. All rights reserved.