This retrospective study examined the surgical management of embolized occluding devices following transcatheter closure of ostium secundum atrial septal defects (ASDs) at a single center over a 10-year period from June 2014 to June 2024.

Out of 231 patients who underwent percutaneous ASD closure, 46 (aged 6–44 years; 25 females, 21 males) experienced device embolization, detected primarily via post-procedure echocardiography, necessitating emergency surgical intervention. All procedures involved midline sternotomy under cardiopulmonary bypass for device retrieval and ASD closure, typically with a pericardial patch.

Device embolization sites included the right atrium (24 cases), right ventricle (12 cases), left atrium (8 cases), and pulmonary artery (2 cases), with associated complications such as pericardial tamponade (5 cases), femoral artery thrombosis (4 cases), and transient ischemic attack (1 case). Successful retrieval and defect closure were achieved in 43 patients, yielding an overall mortality rate of 3 (6.5%). The mean ICU stay was 2 days, and the mean hospital stay was 7 days, and thus good postoperative recovery in uncomplicated cases.

Dr. Roota Sulharamwala is a Cardiothoracic and Vascular Surgery practitioner based in Mumbai, India. She completed her Bachelor of Medicine and Bachelor of Surgery (MBBS) from K. I. M. S. Medical institute in 2018, followed by a Master of Surgery (MS) in General Surgery in 2023. Following her postgraduate training, she pursued specialised training in Cardiothoracic and Vascular Surgery at Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, India.

Her clinical interests include adult cardiac surgery, coronary artery bypass grafting, valvular heart disease, congenital cardiac surgery, and minimally invasive cardiac surgery. During her training, she has been actively involved in the perioperative management and surgical care of patients undergoing complex cardiac procedures, with a keen interest in developing technical expertise and improving surgical outcomes.

She is currently practising in the field of Cardiothoracic and Vascular Surgery in Mumbai. Her academic interests include clinical research, surgical innovation, and advancing contemporary approaches in cardiac surgery. She remains committed to continuous learning, evidence-based surgical practice, and contributing to the advancement of cardiothoracic surgery through clinical work and academic presentations.