left atrial appendage occlusion complicated by appendage perforation rescued by device deployment

left atrial appendage occlusion complicated by appendage perforation rescued by device deployment

;Anna Sarcon MS, MD;Dipayon Roy MD;David Laughrun MD;Mary Huntsinger ACNP;Jacqueline Schwartz MD;Jina Sohn MD;Rahul N. Doshi MD, FHRS
proceedings - 2018 international conference on networking and network applications, nana 2018 2018 Vol. 6 pp. -
190
md2018journalleft

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.

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