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Left atrial appendage occlusion using a Watchman device in a transplanted heart with biatrial anastomosis
Author(s) -
Poulin MarieFrance,
Mohamedali Burhan,
Kavinsky Clifford J.,
Krishnan Kousik
Publication year - 2019
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.28027
Subject(s) - medicine , percutaneous , anastomosis , left atrial appendage occlusion , occlusion , cardiology , atrial fibrillation , surgery , atrial septum , radiology , warfarin
A percutaneous left atrial appendage (LAA) occlusion using a Watchman device was performed in a patient with prior biatrial anastomosis orthotopic heart transplant (OHT). Due to the anatomical changes following biatrial anastomosis, transesophageal echocardiography (TEE) imaging and transseptal puncture become technically challenging. We describe how the standard LAA views on TEE were obtained for device sizing, and how the transseptal puncture was modified to cross the scarred septum. This case demonstrates that LAA occlusion using a Watchman device in biatrial anastomosis OHT is safe and can successfully be done.