Incomplete Left Atrial Appendage Closure Successfully Treated With a Redo Procedure

Francesco Tomassini; Paolo Giay Pron; Stefania Ferrua; Ferdinando Varbella; Michele Capriolo; Gaetano Senatore

doi:10.1016/j.carrev.2020.05.033

Incomplete Left Atrial Appendage Closure Successfully Treated With a Redo Procedure

Cardiovasc Revasc Med. 2020 Nov;21(11S):69-72. doi: 10.1016/j.carrev.2020.05.033. Epub 2020 May 23.

Authors

Francesco Tomassini¹, Paolo Giay Pron², Stefania Ferrua², Ferdinando Varbella², Michele Capriolo³, Gaetano Senatore³

Affiliations

¹ Department of Cardiology, Infermi Hospital, Rivoli, Italy. Electronic address: [email protected].
² Department of Cardiology, Infermi Hospital, Rivoli, Italy.
³ Department of Cardiology, Cirié Hospital, Cirié, Italy.

PMID: 32473911
DOI: 10.1016/j.carrev.2020.05.033

Abstract

A 68 year's old man with permanent atrial fibrillation, underwent a left atrial appendage closure because of high bleeding risk. However, after one month, an incomplete occlusion of the left atrial appendage due to a too deep position of the device, was detected by a transesophageal echocardiogram. Considering the residual high risk of thrombi formation, a new different device was successfully implanted with a correct closure of the appendage.

Keywords: Closure; Left atrial appendage; Structural heart disease interventions; Transeptal catheterization.

Publication types

Case Reports

MeSH terms

Aged
Atrial Appendage* / diagnostic imaging
Atrial Fibrillation
Cardiac Catheterization
Echocardiography, Transesophageal
Humans
Male
Risk Factors
Stroke
Time Factors
Treatment Outcome