Late presentation of left atrial appendage erosion and perforation by an AmplatzerTM AmuletTM closure device: A case report

Ben Wilkins*, Christian L. Carranza, Lars Søndergaard, Ole de Backer

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

3 Citations (Scopus)
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Abstract

Background: Percutaneous left atrial appendage (LAA) closure may reduce the risk of cardioembolic stroke in patients with non-valvular atrial fibrillation. Given the prophylactic nature of the procedure, identifying and managing complications are paramount. Case summary: A 73-year-old man presented 14 months after percutaneous LAA closure with syncope and acute pericardial tamponade which required surgical exploration and haemostasis; the most temporally remote account of this complication albeit amongst very few case reports. Tissue erosion by the AmplatzerTM AmuletTM LAA closure device (Abbott, Plymouth, MN, USA) was noted at two separate anatomical locations, corresponding to the device disc and lobe, which has not been described previously. Discussion: This case report highlights the anatomical relationship between the LAA and its surrounding structures, and the importance of recognizing the risk of late device erosion.

Original languageEnglish
Article numberytaa079
JournalEuropean Heart Journal - Case Reports
Volume4
Issue number3
ISSN2514-2119
DOIs
Publication statusPublished - 2020

Keywords

  • Case report
  • Erosion
  • Late complication
  • Left atrial appendage closure
  • Perforation

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