Watchman Device Dislodgement Creating a Left Ventricular Outflow Tract Obstruction Requiring Emergency Cardiopulmonary Bypass | Zendy

A B Roberts | Zendy; Steven Mach | Zendy; Jason Goebel | Zendy; Heather L. Palomino | Zendy; Derek Horstemeyer | Zendy

Open Access

Watchman Device Dislodgement Creating a Left Ventricular Outflow Tract Obstruction Requiring Emergency Cardiopulmonary Bypass

Author(s) -

A B Roberts,

Steven Mach,

Jason Goebel,

Heather L. Palomino,

Derek Horstemeyer

Publication year - 2022

Publication title -

case reports in anesthesiology

Language(s) - English

Resource type - Journals

eISSN - 2090-6390

pISSN - 2090-6382

DOI - 10.1155/2022/3215334

Subject(s) - medicine , cardiology , cardiopulmonary bypass , occlusion , stenosis , left atrial appendage occlusion , atrial fibrillation , ventricular outflow tract obstruction , ventricular outflow tract , aortic valve replacement , stroke (engine) , complication , mechanical engineering , hypertrophic cardiomyopathy , warfarin , engineering

Left atrial appendage (LAA) occlusion device implantation is becoming a more common alternative for stroke prophylaxis in patients with nonvalvular atrial fibrillation (AF) who are not able to tolerate long-term anticoagulation. Studies suggest the procedure has a 98.5% successful deployment rate (Boersma et al., 2016). We present a case where a rare but known complication involving dislodgement and migration of an implanted Watchman LAA occlusion device led to functional stenosis of the aortic valve creating a left ventricular outflow tract (LVOT) obstruction necessitating emergency cardiopulmonary bypass in the electrophysiology lab to safely retrieve the device.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.

Having issues? You can contact us here

Accelerating Research