Sarcon Anna, Roy Dipayon, Laughrun David, Huntsinger Mary, Schwartz Jacqueline, Sohn Jina, Doshi Rahul N
University of Southern California, Los Angeles, CA, USA.
J Investig Med High Impact Case Rep. 2018 Sep 11;6:2324709618800108. doi: 10.1177/2324709618800108. eCollection 2018 Jan-Dec.
The Watchman device is a transcatheter left atrial appendage (LAA) occluding device used in patients with nonvalvular atrial fibrillation (NVAF) and a high CHADS2-VA2SC score who are poor long-term anticoagulation candidates. Pericardial effusion related to device deployment and perforation can be a life-threatening complication. While not common in hands of experienced operators, management may require surgical intervention. Here we present a rare case of LAA perforation, which was corrected by successful repositioning of the device foregoing the need for surgical management.
Watchman装置是一种经导管左心耳（LAA）封堵装置，用于非瓣膜性心房颤动（NVAF）且CHADS2-VA2SC评分高、长期抗凝治疗效果不佳的患者。与装置植入和穿孔相关的心包积液可能是一种危及生命的并发症。虽然在经验丰富的术者手中并不常见，但处理可能需要手术干预。在此，我们报告一例罕见的LAA穿孔病例，通过成功重新定位装置纠正了穿孔，从而无需手术处理。
