To report a rare case of late migration of a ventricular septal defect (VSD) closure device occurring 18 months post-implantation, highlighting its unusual nature.
Key Findings:
Device migration occurred 18 months post-implantation, an unusually late presentation, raising concerns for long-term stability.
Complete circumferential endothelialization indicated long-term tissue incorporation before migration, suggesting a potential mechanism for late failure.
Serial imaging showed stable device position until the late migration event, emphasizing the need for ongoing monitoring.
Interpretation:
The case highlights the potential for late mechanical destabilization of VSD closure devices despite initial successful implantation and stable follow-up, underscoring the need for vigilance in long-term patient management.
Limitations:
The case is singular and may not represent broader trends in VSD device migration, limiting generalizability.
Limited follow-up duration may not capture all potential late complications, necessitating further studies.
Conclusion:
This case underscores the importance of ongoing surveillance for late complications in patients with VSD closure devices, even after a prolonged period of stability, to ensure patient safety.
