Left atrial appendage perforation with Watchman device implantation: Strategies for surgical repair.
Saqib MasroorQiong QiuMohamad AlghothaniRajesh GuptaGeorge V MoukarbelPublished in: Journal of cardiac surgery (2020)
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.
Keyphrases
- left atrial appendage
- atrial fibrillation
- catheter ablation
- oral anticoagulants
- left atrial
- direct oral anticoagulants
- end stage renal disease
- heart failure
- decision making
- newly diagnosed
- chronic kidney disease
- ejection fraction
- percutaneous coronary intervention
- emergency department
- healthcare
- public health
- prognostic factors
- aortic valve replacement
- minimally invasive
- blood brain barrier
- aortic valve
- radiofrequency ablation
- mitral valve
- transcatheter aortic valve implantation