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Percutaneous management of left atrial appendage perforation during device closure
Author(s) -
Meier Bernhard,
Tarbine Sergio G.,
Costantini Costantino R.
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.24991
Subject(s) - medicine , percutaneous , pericardiocentesis , perforation , atrial fibrillation , surgery , closure (psychology) , atrial appendage , appendage , pericardial effusion , anatomy , economics , metallurgy , market economy , punching , materials science , sinus rhythm
A 76‐year‐old male patient was admitted for percutaneous left atrial appendage (LAA) closure because of chronic atrial fibrillation and a history of gastrointestinal bleeding under oral anticoagulation. The procedure was complicated by perforation of the LAA with the lobe of the closure device being placed in the pericardial space. Keeping access to the pericardial space with the delivery sheath, the LAA closure device was replaced by an atrial septal defect closure device to seal the perforation. Then the initial LAA closure device was reimplanted in a correct position. Needle pericardiocentesis was required but the subsequent course was uneventful. © 2013 Wiley Periodicals, Inc.