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Left atrial appendage perforation with Watchman device implantation: Strategies for surgical repair.

作者信息

Masroor Saqib, Qiu Qiong, Alghothani Mohamad, Gupta Rajesh, Moukarbel George V

机构信息

Division of Cardiothoracic Surgery, University of Toledo College of Medicine and Life Sciences, Toledo, Ohio, USA.

Division of Cardiovascular Medicine, University of Toledo College of Medicine and Life Sciences, Tboledo, Ohio, USA.

出版信息

J Card Surg. 2021 Jan;36(1):398-400. doi: 10.1111/jocs.15145. Epub 2020 Dec 1.

DOI:10.1111/jocs.15145
PMID:33259077
Abstract

Percutaneous occlusion of the left atrial appendage is increasingly being used as an alternative for stroke prevention in patients with non-valvular atrial fibrillation at high risk of complications from long term anticoagulation. We describe a case of left atrial appendage perforation during Watchman device implantation requiring emergency repair of the left atrium using sternotomy and cardiopulmonary bypass. Technical considerations for surgical decision making are discussed; in hemodynamically unstable patients as well as those at high risk for embolization.

摘要

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