# Dealing With a Nightmare: A Case Report of Successful Percutaneous Treatment of an Embolized Occluder Device Complicating a Minimal-Fluoroscopy Patent Ductus Arteriosus Closure

## TL;DR

This case report describes a successful non-surgical retrieval of an embolized device used to treat a heart defect in a child.

## Contribution

The paper presents a novel case of successful transcatheter retrieval of an embolized occluder device in a pediatric patient.

## Key findings

- Device embolization is a serious complication during PDA closure.
- Transcatheter retrieval using the snaring technique is a feasible alternative to surgery.
- Successful retrieval was achieved in a pediatric patient with pulmonary arterial hypertension.

## Abstract

Patent ductus arteriosus (PDA) is one of the most prevalent acyanotic congenital heart diseases. Percutaneous closure of PDA has been the preferred treatment recommended by the guidelines due to relatively low complications and rapid patient recovery. However, device emboli remain the most frequent and disastrous complication, necessitating percutaneous or surgical treatment. We present a case of a large PDA closure in pulmonary arterial hypertension paediatric patients complicated with device emboli that was successfully retrieved using the snaring technique. Transcatheter retrieval, although technically challenging, is a feasible treatment and offers the advantage of avoiding the need for surgical intervention.