Emergency surgical retrieval of a migrated LAmbre device through the mitral valve

Daniel Martinez-Lopez; Juan Esteban de Villarreal Soto; Victor Manuel Ospina Mosquera; Alberto Forteza Gil

doi:10.1093/ejcts/ezab342

Emergency surgical retrieval of a migrated LAmbre device through the mitral valve

Eur J Cardiothorac Surg. 2021 Dec 1;60(6):1475-1476. doi: 10.1093/ejcts/ezab342.

Authors

Daniel Martinez-Lopez¹, Juan Esteban de Villarreal Soto¹, Victor Manuel Ospina Mosquera¹, Alberto Forteza Gil¹

Affiliation

¹ Cardiac Surgery Department, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.

PMID: 34331063
DOI: 10.1093/ejcts/ezab342

Abstract

Left atrial appendage occlusion has become an alternative for long-term anticoagulation for patients with non-valvular atrial fibrillation. Although the procedure is safe, life-threatening complications such as embolization of the device or cardiac tamponade might occur. We present a case of a LAmbre device that migrated 4 days after being implanted and remained trapped in the mitral valve. Secondary massive mitral regurgitation with severe stenosis and haemodynamic instability required emergency surgery. The device was successfully removed, but severe damage in the anterior leaflet and chords forced a valve replacement.

Keywords: Device; LAmbre™; Left atrial appendage occluder embolization.

Publication types

Case Reports

MeSH terms

Atrial Appendage* / surgery
Atrial Fibrillation* / surgery
Cardiac Catheterization / methods
Humans
Mitral Valve / diagnostic imaging
Mitral Valve / surgery
Mitral Valve Insufficiency* / etiology
Mitral Valve Insufficiency* / surgery
Septal Occluder Device*
Treatment Outcome