Minimally invasive left atrial appendage (LAA) clip insertion after challenging LAA occluder implantation to minimize the risk of stroke.

Autor: Cetinkaya A; Department of Cardiac Surgery, Kerckhoff-Heart Center, Bad Nauheim, Germany., Zeriouh M; Department of Cardiac Surgery, Kerckhoff-Heart Center, Bad Nauheim, Germany., Liakopoulos OJ; Department of Cardiac Surgery, Kerckhoff-Heart Center, Bad Nauheim, Germany., Hein S; Department of Cardiac Surgery, Kerckhoff-Heart Center, Bad Nauheim, Germany., Siemons T; Department of Radiology, Kerckhoff-Heart Center, Bad Nauheim, Germany., Bramlage P; Institute for Pharmacology and Preventive Medicine, Cloppenburg, Germany., Schönburg M; Department of Cardiac Surgery, Kerckhoff-Heart Center, Bad Nauheim, Germany., Choi YH; Department of Cardiac Surgery, Kerckhoff-Heart Center, Bad Nauheim, Germany., Richter M; Department of Cardiac Surgery, Kerckhoff-Heart Center, Bad Nauheim, Germany.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2020 Nov 27; Vol. 2020 (11), pp. rjaa432. Date of Electronic Publication: 2020 Nov 27 (Print Publication: 2020).
DOI: 10.1093/jscr/rjaa432
Abstrakt: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, requiring lifelong anticoagulation or interventional, transseptal left atrial appendage (LAA) occluder implantation to minimize stroke risk. Incomplete LAA closure post implantation is a frequent observation. Incomplete LAA occlusion after transseptal occluder implantation necessitates anticoagulation in cases of persistent AF to minimze risk of embolism and/or apoplexy. Patients with contraindications to lifelong anticoagulation therapy are challenging to treat and alternative options are needed. We present a case of a patient with persistent AF who underwent frustraneous LAA occluder implantation. The patient's anatomy necessitated surgical closure of the LAA, which was accomplished with an LAA clip 4 weeks after implantation. The patient was discharged in excellent clinical status 5 days after the surgery. No further complications were observed within the following year.
(Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020.)
Databáze: MEDLINE
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