Dataset Information
Late presentation of left atrial appendage erosion and perforation by an Amplatzer™ Amulet™ closure device: a case report.
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ABSTRACT: 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 Amplatzer™ Amulet™ 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.
SUBMITTER: Wilkins B
PROVIDER: S-EPMC7319829 | biostudies-literature | 2020 Jun
REPOSITORIES: biostudies-literature
Publications
Late presentation of left atrial appendage erosion and perforation by an Amplatzer™ Amulet™ closure device: a case report.
European heart journal. Case reports 20200503 3
<h4>Background</h4>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.<h4>Case summary</h4>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 compl ...[more]