Premium
Pulmonary artery perforation caused by a left atrial appendage closure device
Author(s) -
Lu Cong,
Zeng Jie,
Meng Qingguo,
Zeng Zhi
Publication year - 2020
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.28541
Subject(s) - medicine , cardiology , tamponade , left pulmonary artery , ductus arteriosus , pulmonary artery , catheter , hemopericardium , cardiac tamponade , surgery , perforation , occlusion , punching , materials science , metallurgy
We describe a female patient who received hybrid catheter intervention and occlusion of the patent ductus arteriosus (PDA) and left atrial appendage (LAA). Four hours after the procedure, pericardial tamponade suddenly occurred. Surgical exploration of the heart found that a fixation hook of the WATCHMAN device, had protruded through the LAA wall and tore the dilated pulmonary artery (PA). This is the first case report to describe PA perforation caused by barbs of the WATCHMAN device, and more attention should be paid to the relationship between the LAA and its adjacent structures before LAA closure.