Conflict of interest: Bernhard Meier Research grants and speaker bureau of St. Jude Medical.
Valvular and Structural Heart Diseases
Percutaneous management of left atrial appendage perforation during device closure
Article first published online: 10 JUN 2013
Copyright © 2013 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 83, Issue 2, pages 305–307, 1 February 2014
How to Cite
Meier, B., Tarbine, S. G. and Costantini, C. R. (2014), Percutaneous management of left atrial appendage perforation during device closure. Cathet. Cardiovasc. Intervent., 83: 305–307. doi: 10.1002/ccd.24991
- Issue published online: 20 JAN 2014
- Article first published online: 10 JUN 2013
- Accepted manuscript online: 15 MAY 2013 04:58AM EST
- Manuscript Accepted: 28 APR 2013
- Manuscript Revised: 8 APR 2013
- Manuscript Received: 21 JAN 2013
- left atrial appendage;
- left atrium
A 76-year-old male patient was admitted for percutaneous left atrial appendage (LAA) closure because of chronic atrial fibrillation and a history of gastrointestinal bleeding under oral anticoagulation. The procedure was complicated by perforation of the LAA with the lobe of the closure device being placed in the pericardial space. Keeping access to the pericardial space with the delivery sheath, the LAA closure device was replaced by an atrial septal defect closure device to seal the perforation. Then the initial LAA closure device was reimplanted in a correct position. Needle pericardiocentesis was required but the subsequent course was uneventful. © 2013 Wiley Periodicals, Inc.