[A complicated left atrial appendage closure : percutaneous management of LAA rupture]. / Ma fermeture d'auricule s'est compliquée : traitement percutané d'une rupture d'auricule gauche.
Ann Cardiol Angeiol (Paris)
; 73(4): 101782, 2024 Sep.
Article
en Fr
| MEDLINE
| ID: mdl-39068691
ABSTRACT
An 81-year-old patient was referred for left atrial appendage closure. Anatomical LAA analysis by CT scan showed an inverted chicken wing morphology. The procedure was performed through i an infero-anterior transseptal puncture and led to "sandwich" closure strategy using an AMPLATZER AMULET 25 mm device. Despite successful deployment of the occluder, a hemopericardium soon developed related to an iatrogenic LAA perforation/partial rupture and leading to major hemodynamic instability. After pericardocentesis, it was decided to inject activated thrombin into the pericardial sac to achieve in situ hemostasis. This strategy enabled coagulation of the hemopericardium and cessation of active bleeding, without recourse to surgical treatment.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Apéndice Atrial
Límite:
Aged80
/
Humans
/
Male
Idioma:
Fr
Revista:
Ann Cardiol Angeiol (Paris)
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Francia