Left atrial appendage perforation during appendage angiography treated by percutaneous left atrial appendage closure: a case report

BACKGROUND: Pericardial effusion is a common complication of percutaneous left atrial appendage (LAA) closure. Acute management is the cornerstone of pericardial effusion treatment and interrupting the intervention is often required. CASE SUMMARY: A 65-year-old man presented an acute 10 mm pericardi...

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Detalles Bibliográficos
Autores principales: Champagne, Catherine, Dognin, Nicolas, Rodés-Cabau, Josep, Champagne, Jean
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8183657/
https://www.ncbi.nlm.nih.gov/pubmed/34109297
http://dx.doi.org/10.1093/ehjcr/ytab187
Descripción
Sumario:BACKGROUND: Pericardial effusion is a common complication of percutaneous left atrial appendage (LAA) closure. Acute management is the cornerstone of pericardial effusion treatment and interrupting the intervention is often required. CASE SUMMARY: A 65-year-old man presented an acute 10 mm pericardial effusion following pigtail contrast appendage injection. A rapid Watchman Flex 24 mm (Boston Scientific) deployment permitted bleeding interruption. A needle pericardiocentesis was achieved in order to prevent any haemodynamical instability. DISCUSSION: This case report describes an atypical cause of pericardial effusion and a technique for bleeding control with LAA closure device deployment.

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