Left Atrial Appendage Occlusion Complicated by Appendage Perforation Rescued by Device Deployment

• Main Authors: Anna Sarcon MS, MD (Author), Dipayon Roy MD (Author), David Laughrun MD (Author), Mary Huntsinger ACNP (Author), Jacqueline Schwartz MD (Author), Jina Sohn MD (Author), Rahul N. Doshi MD, FHRS (Author)
• Format: Book
• Published: SAGE Publishing, 2018-09-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

The Watchman device is a transcatheter left atrial appendage (LAA) occluding device used in patients with nonvalvular atrial fibrillation (NVAF) and a high CHADS2-VA2SC score who are poor long-term anticoagulation candidates. Pericardial effusion related to device deployment and perforation can be a life-threatening complication. While not common in hands of experienced operators, management may require surgical intervention. Here we present a rare case of LAA perforation, which was corrected by successful repositioning of the device foregoing the need for surgical management.

Item Description

2324-7096
10.1177/2324709618800108