Percutaneous occlusion of transseptal puncture‐related free wall perforation at the coronary sinus with a ventricular septal occluder during left atrial appendage closure: A case report

2019 ◽  
Vol 96 (7) ◽  
Author(s):  
Yuan Bai ◽  
Sha Zhang ◽  
Yong‐wen Qin ◽  
Xian‐xian Zhao
Keyword(s):  
Case Report ◽  
Coronary Sinus ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Free Wall ◽  
Transseptal Puncture ◽  
Left Atrial Appendage Closure ◽  
Wall Perforation

Transseptal puncture versus patent foramen ovale or atrial septal defect access for left atrial appendage closure

2020 ◽  
Vol 16 (2) ◽  
pp. e173-e180 ◽  
Author(s):  
Caroline Kleinecke ◽  
Monika Fuerholz ◽  
Eric Buffle ◽  
Stefano de Marchi ◽  
Steffen Schnupp ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Left Atrial ◽  
Patent Foramen Ovale ◽  
Septal Defect ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Transseptal Puncture ◽  
Foramen Ovale ◽  
Left Atrial Appendage Closure

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

2021 ◽  
Vol 5 (5) ◽  
Author(s):  
Catherine Champagne ◽  
Nicolas Dognin ◽  
Josep Rodés-Cabau ◽  
Jean Champagne
Keyword(s):  
Case Report ◽  
Pericardial Effusion ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Closure Device ◽  
Left Atrial Appendage Closure ◽  
Case Summary ◽  
Device Deployment ◽  
Laa Closure

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.

scholarly journals Late embolization of left atrial appendage closure device – case report

2016 ◽  
Vol 11 (10-11) ◽  
pp. 416-416
Author(s):  
Luka Bastiančić ◽  
Ivana Smoljan ◽  
Tomislav Jakljević ◽  
Sandro Brusich ◽  
Vjekoslav Tomulić ◽  
...  
Keyword(s):  
Case Report ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Closure Device ◽  
Left Atrial Appendage Closure

scholarly journals Management of ascending aorta perforation during transseptal puncture for left atrial appendage closure: a case report

2021 ◽  
Vol 5 (4) ◽  
Author(s):  
Nili Schamroth Pravda ◽  
Pablo Codner ◽  
Hana Vaknin Assa ◽  
Rafael Hirsch
Keyword(s):  
Myocardial Infarction ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Thrombus Formation ◽  
Oral Anticoagulant Therapy ◽  
Ascending Aorta ◽  
Atrial Appendage ◽  
Transseptal Puncture ◽  
Left Atrial Appendage Closure ◽  
Protamine Sulphate

Abstract Background An 82-year-old female with a history of atrial fibrillation and repeated episodes of major bleeding on direct oral anticoagulant therapy, with a high risk for thromboembolism and was referred for left atrial appendage closure. Case summary During the procedure, an unrecognized puncture of the aorta by the transseptal puncture (TSP) needle and inadvertent advancement of the sheath resulted in ascending aorta perforation. This perforation was closed percutaneously using an Amplatzer™ Duct Occluder (ADO). Reversal of heparinization with protamine sulphate was given to avoid intractable bleeding. However, this resulted in thrombus formation and subsequent embolization causing an ST-elevation myocardial infarction. This was treated with balloon dilatation and thrombus aspiration with subsequent Thrombolysis in Myocardial Infarction 3 flow. Discussion Inadvertent ascending aorta perforation is a rare yet serious complication that can occur during TSP. Percutaneous closure using an ADO is a viable management option. The reversal of heparin carries a risk of thrombus formation and should be avoided in cases where there is no evidence of overt bleeding.

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