Late presentation of left atrial appendage erosion and perforation by an AmplatzerTM AmuletTM closure device: A case report
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Late presentation of left atrial appendage erosion and perforation by an AmplatzerTM AmuletTM closure device : A case report. / Wilkins, Ben; Carranza, Christian L.; Søndergaard, Lars; de Backer, Ole.
I: European Heart Journal - Case Reports, Bind 4, Nr. 3, ytaa079, 2020.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Late presentation of left atrial appendage erosion and perforation by an AmplatzerTM AmuletTM closure device
T2 - A case report
AU - Wilkins, Ben
AU - Carranza, Christian L.
AU - Søndergaard, Lars
AU - de Backer, Ole
PY - 2020
Y1 - 2020
N2 - Background: Percutaneous left atrial appendage (LAA) closure may reduce the risk of cardioembolic stroke in patients with non-valvular atrial fibrillation. Given the prophylactic nature of the procedure, identifying and managing complications are paramount. Case summary: A 73-year-old man presented 14 months after percutaneous LAA closure with syncope and acute pericardial tamponade which required surgical exploration and haemostasis; the most temporally remote account of this complication albeit amongst very few case reports. Tissue erosion by the AmplatzerTM AmuletTM LAA closure device (Abbott, Plymouth, MN, USA) was noted at two separate anatomical locations, corresponding to the device disc and lobe, which has not been described previously. Discussion: This case report highlights the anatomical relationship between the LAA and its surrounding structures, and the importance of recognizing the risk of late device erosion.
AB - Background: Percutaneous left atrial appendage (LAA) closure may reduce the risk of cardioembolic stroke in patients with non-valvular atrial fibrillation. Given the prophylactic nature of the procedure, identifying and managing complications are paramount. Case summary: A 73-year-old man presented 14 months after percutaneous LAA closure with syncope and acute pericardial tamponade which required surgical exploration and haemostasis; the most temporally remote account of this complication albeit amongst very few case reports. Tissue erosion by the AmplatzerTM AmuletTM LAA closure device (Abbott, Plymouth, MN, USA) was noted at two separate anatomical locations, corresponding to the device disc and lobe, which has not been described previously. Discussion: This case report highlights the anatomical relationship between the LAA and its surrounding structures, and the importance of recognizing the risk of late device erosion.
KW - Case report
KW - Erosion
KW - Late complication
KW - Left atrial appendage closure
KW - Perforation
U2 - 10.1093/ehjcr/ytaa079
DO - 10.1093/ehjcr/ytaa079
M3 - Journal article
C2 - 32617484
AN - SCOPUS:85090594420
VL - 4
JO - European Heart Journal - Case Reports
JF - European Heart Journal - Case Reports
SN - 2514-2119
IS - 3
M1 - ytaa079
ER -
ID: 261512770