Left Atrial Appendage Occlusion Complicated by Appendage Perforation Rescued by Device Deployment
oleh: Anna Sarcon MS, MD, Dipayon Roy MD, David Laughrun MD, Mary Huntsinger ACNP, Jacqueline Schwartz MD, Jina Sohn MD, Rahul N. Doshi MD, FHRS
| Format: | Article |
|---|---|
| Diterbitkan: | SAGE Publishing 2018-09-01 |
Deskripsi
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.