Left Atrial Appendage Occlusion Complicated by Appendage Perforation Rescued by Device Deployment

Journal of Investigative Medicine High Impact Case Reports
Anna SarconRahul N Doshi

Abstract

The Watchman device is a transcatheter left atrial appendage (LAA) occluding device used in patients with nonvalvular atrial fibrillation (NVAF) and a high CHADS2-VA2SC score who are poor long-term anticoagulation candidates. Pericardial effusion related to device deployment and perforation can be a life-threatening complication. While not common in hands of experienced operators, management may require surgical intervention. Here we present a rare case of LAA perforation, which was corrected by successful repositioning of the device foregoing the need for surgical management.

References

Feb 1, 1996·The Annals of Thoracic Surgery·J L Blackshear, J A Odell
Nov 7, 2016·Journal of the American College of Cardiology·Vivek Y ReddyDavid R Holmes
Nov 7, 2017·Journal of the American College of Cardiology·Vivek Y ReddyUNKNOWN PREVAIL and PROTECT AF Investigators

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Citations

Aug 7, 2020·Journal of Investigative Medicine High Impact Case Reports·Jordan PerkinsJignesh Shah

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