Late left atrial appendage closure device displacement and massive thrombus formation: a case report.

ABSTRACT:

Background

Left atrial appendage (LAA) closure with the WATCHMAN device is an alternative to anticoagulation therapy for the prevention of stroke in selected patients with atrial fibrillation (AF). Infrequently, left atrial (LA) device-related thrombus formation occurs and it is poorly understood. Thrombus formation due to incomplete covering of the LAA is even rarer and may occur within the first few months after device implantation.

Case summary

Here, we present a case of a 68-year-old male patient with permanent AF, drug- and hepatitis induced liver cirrhosis (CILD Score B), and prior aortic valve replacement. The patient had a history of percutaneous LAA closure using a WATCHMAN device. He developed massive peri-device leak and thrombus arising from the space between the

SUBMITTER: Sasko B 

PROVIDER: S-EPMC7180543 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature