Percutaneous Management of Left Atrial Appendage Perforation During Device Closure

被引：6

作者：

Meier, Bernhard ^{[1
]}

Tarbine, Sergio G. ^{[2
]}

Costantini, Costantino R. ^{[2
]}

机构：

[1] Univ Hosp Bern, Dept Cardiol, CH-3010 Bern, Switzerland

[2] Hosp Cardiol Costantini, Curitiba, Parana, Brazil

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2014年 / 83卷 / 02期

关键词：

left atrial appendage; perforation; closure; left atrium; AMPLATZER SEPTAL OCCLUDER; FREE-WALL PERFORATION; FIBRILLATION; OCCLUSION; STROKE;

D O I：

10.1002/ccd.24991

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 76-year-old male patient was admitted for percutaneous left atrial appendage (LAA) closure because of chronic atrial fibrillation and a history of gastrointestinal bleeding under oral anticoagulation. The procedure was complicated by perforation of the LAA with the lobe of the closure device being placed in the pericardial space. Keeping access to the pericardial space with the delivery sheath, the LAA closure device was replaced by an atrial septal defect closure device to seal the perforation. Then the initial LAA closure device was reimplanted in a correct position. Needle pericardiocentesis was required but the subsequent course was uneventful. (c) 2013 Wiley Periodicals, Inc.

引用

页码：305 / 307

页数：3

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