Bretones-Pino Teresa, Rivera-López Ricardo, Carrero-Castaño Alejandro, Molina-Navarro Eduardo
Department of Interventional Cardiology, Virgen de las Nieves University Hospital, Granada, Spain.
Anatomic Pathology Department, San Cecilio University Hospital, Granada, Spain.
CJC Open. 2021 Aug 21;4(1):97-99. doi: 10.1016/j.cjco.2021.07.021. eCollection 2022 Jan.
We report the case of an 83-year-old man with paroxysmal atrial fibrillation who underwent successful percutaneous left atrial appendage closure with the LAmbre device, being in sinus rhythm at implantation. Suddenly, the patient experienced cardiac tamponade and died within a few minutes. Autopsy revealed a slight protrusion of the LAmbre device into the atrial appendage wall, and pulmonary artery laceration. This is the first published report of pulmonary artery perforation by the LAmbre device. This case highlights the need for a detailed imaging study before this procedure is performed, to assess left atrial appendage movement/contraction in patients in sinus rhythm.
我们报告了一例83岁阵发性心房颤动男性患者的病例，该患者植入时处于窦性心律，使用LAmbre装置成功进行了经皮左心耳封堵术。突然，患者发生心脏压塞并在几分钟内死亡。尸检显示LAmbre装置轻微突入心耳壁，并伴有肺动脉撕裂。这是LAmbre装置导致肺动脉穿孔的首例发表报告。该病例强调了在进行此手术前进行详细影像学检查的必要性，以评估窦性心律患者的左心耳运动/收缩情况。
