Pulmonary Artery Perforation by Atrial Appendage Closure Device and the Contribution of Auricular Contraction to Its Pathogenesis.

Autor:	Bretones-Pino T; Department of Interventional Cardiology, Virgen de las Nieves University Hospital, Granada, Spain., Rivera-López R; Department of Interventional Cardiology, Virgen de las Nieves University Hospital, Granada, Spain., Carrero-Castaño A; Anatomic Pathology Department, San Cecilio University Hospital, Granada, Spain., Molina-Navarro E; Department of Interventional Cardiology, Virgen de las Nieves University Hospital, Granada, Spain.
Jazyk:	angličtina
Zdroj:	CJC open [CJC Open] 2021 Aug 21; Vol. 4 (1), pp. 97-99. Date of Electronic Publication: 2021 Aug 21 (Print Publication: 2022).
DOI:	10.1016/j.cjco.2021.07.021
Abstrakt:	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. (© 2021 The Authors.)
Databáze:	MEDLINE
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