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Left atrial appendage perforation during appendage angiography treated by percutaneous left atrial appendage closure: a case report.

ABSTRACT:

Background

Pericardial effusion is a common complication of percutaneous left atrial appendage (LAA) closure. Acute management is the cornerstone of pericardial effusion treatment and interrupting the intervention is often required.

Case summary

A 65-year-old man presented an acute 10 mm pericardial effusion following pigtail contrast appendage injection. A rapid Watchman Flex 24 mm (Boston Scientific) deployment permitted bleeding interruption. A needle pericardiocentesis was achieved in order to prevent any haemodynamical instability.

Discussion

This case report describes an atypical cause of pericardial effusion and a technique for bleeding control with LAA closure device deployment.

SUBMITTER: Champagne C

PROVIDER: S-EPMC8183657 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature

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Left atrial appendage perforation during appendage angiography treated by percutaneous left atrial appendage closure: a case report.

Champagne Catherine C Dognin Nicolas N Rodés-Cabau Josep J Champagne Jean J

European heart journal. Case reports 20210522 5

<h4>Background</h4>Pericardial effusion is a common complication of percutaneous left atrial appendage (LAA) closure. Acute management is the cornerstone of pericardial effusion treatment and interrupting the intervention is often required.<h4>Case summary</h4>A 65-year-old man presented an acute 10 mm pericardial effusion following pigtail contrast appendage injection. A rapid Watchman Flex 24 mm (Boston Scientific) deployment permitted bleeding interruption. A needle pericardiocentesis was ach ...[more]

PMID: 34109297

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