Acute coronary syndrome due to left main coronary trunk compression 2 months after left atrial auricle clipping: a case report

BACKGROUND: Left atrial auricle (LAA) clipping is a common method of preventing cardiogenic thromboembolism. However, acute coronary syndrome (ACS) has been reported as a fatal complication of LAA clipping. We describe a case of ACS 2 months after LAA clipping. CASE PRESENTATION: A 33-year-old male...

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Autores principales: Uchida, Satoshi, Takekawa, Daiki, Kato, Koudai, Hirota, Kazuyoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338409/
https://www.ncbi.nlm.nih.gov/pubmed/37438473
http://dx.doi.org/10.1186/s40981-023-00634-8
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author Uchida, Satoshi
Takekawa, Daiki
Kato, Koudai
Hirota, Kazuyoshi
author_facet Uchida, Satoshi
Takekawa, Daiki
Kato, Koudai
Hirota, Kazuyoshi
author_sort Uchida, Satoshi
collection PubMed
description BACKGROUND: Left atrial auricle (LAA) clipping is a common method of preventing cardiogenic thromboembolism. However, acute coronary syndrome (ACS) has been reported as a fatal complication of LAA clipping. We describe a case of ACS 2 months after LAA clipping. CASE PRESENTATION: A 33-year-old male with atrial fibrillation was scheduled LAA clipping during aortic valve replacement for congenital aortic bicuspid valve. The surgery went smoothly with no postoperative complications, but he suddenly went into cardiac arrest 2 months later. Emergency coronary angiography and intravascular ultrasonography revealed that compression by the clip of the left main coronary trunk had caused the ACS. Percutaneous coronary intervention with stents was performed, and the clip was removed under general anesthesia. CONCLUSION: Even in the remote timepoint of LAA clipping, compression of the coronary artery by the clip should be differentiated as a cause of ACS.
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spelling pubmed-103384092023-07-14 Acute coronary syndrome due to left main coronary trunk compression 2 months after left atrial auricle clipping: a case report Uchida, Satoshi Takekawa, Daiki Kato, Koudai Hirota, Kazuyoshi JA Clin Rep Case Report BACKGROUND: Left atrial auricle (LAA) clipping is a common method of preventing cardiogenic thromboembolism. However, acute coronary syndrome (ACS) has been reported as a fatal complication of LAA clipping. We describe a case of ACS 2 months after LAA clipping. CASE PRESENTATION: A 33-year-old male with atrial fibrillation was scheduled LAA clipping during aortic valve replacement for congenital aortic bicuspid valve. The surgery went smoothly with no postoperative complications, but he suddenly went into cardiac arrest 2 months later. Emergency coronary angiography and intravascular ultrasonography revealed that compression by the clip of the left main coronary trunk had caused the ACS. Percutaneous coronary intervention with stents was performed, and the clip was removed under general anesthesia. CONCLUSION: Even in the remote timepoint of LAA clipping, compression of the coronary artery by the clip should be differentiated as a cause of ACS. Springer Berlin Heidelberg 2023-07-13 /pmc/articles/PMC10338409/ /pubmed/37438473 http://dx.doi.org/10.1186/s40981-023-00634-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Uchida, Satoshi
Takekawa, Daiki
Kato, Koudai
Hirota, Kazuyoshi
Acute coronary syndrome due to left main coronary trunk compression 2 months after left atrial auricle clipping: a case report
title Acute coronary syndrome due to left main coronary trunk compression 2 months after left atrial auricle clipping: a case report
title_full Acute coronary syndrome due to left main coronary trunk compression 2 months after left atrial auricle clipping: a case report
title_fullStr Acute coronary syndrome due to left main coronary trunk compression 2 months after left atrial auricle clipping: a case report
title_full_unstemmed Acute coronary syndrome due to left main coronary trunk compression 2 months after left atrial auricle clipping: a case report
title_short Acute coronary syndrome due to left main coronary trunk compression 2 months after left atrial auricle clipping: a case report
title_sort acute coronary syndrome due to left main coronary trunk compression 2 months after left atrial auricle clipping: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338409/
https://www.ncbi.nlm.nih.gov/pubmed/37438473
http://dx.doi.org/10.1186/s40981-023-00634-8
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