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Asymptomatic migration of an AMPLATZER ™ A mulet™ left atrial appendage occluder through the mitral valve
Author(s) -
Mester Petru,
Dompnier Antoine,
Belle Loïc
Publication year - 2017
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.26557
Subject(s) - medicine , appendage , asymptomatic , cardiology , mitral valve , radiology , surgery , anatomy
An 84‐year‐old woman with a history of hemorrhagic stroke was admitted for a new cerebral ischemic event. While in hospital, she was diagnosed with paroxysmal atrial fibrillation. Owing to her high thromboembolic risk (CHA 2 DS 2 ‐VASc score of 6) we performed left atrial appendage (LAA) closure using a 22‐mm AMPLATZER™ Amulet™. The procedure was successful. Systematic follow‐up with transthoracic echocardiography 8 hr later revealed that the LAA occluder had migrated and become entrapped in the mitral subvalvular apparatus. At this time, the patient was asymptomatic. The device was recovered percutaneously using a loop‐snare catheter, with no further complications. © 2016 Wiley Periodicals, Inc.