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Left atrial appendage perforation with Watchman device implantation: Strategies for surgical repair
Author(s) -
Masroor Saqib,
Qiu Qiong,
Alghothani Mohamad,
Gupta Rajesh,
Moukarbel George V.
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15145
Subject(s) - medicine , left atrial appendage occlusion , atrial fibrillation , percutaneous , perforation , surgery , cardiology , appendage , cardiopulmonary bypass , embolization , median sternotomy , stroke (engine) , atrial appendage , warfarin , sinus rhythm , punching , materials science , anatomy , metallurgy , mechanical engineering , engineering
Percutaneous occlusion of the left atrial appendage is increasingly being used as an alternative for stroke prevention in patients with non‐valvular atrial fibrillation at high risk of complications from long term anticoagulation. We describe a case of left atrial appendage perforation during Watchman device implantation requiring emergency repair of the left atrium using sternotomy and cardiopulmonary bypass. Technical considerations for surgical decision making are discussed; in hemodynamically unstable patients as well as those at high risk for embolization.