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Left Atrial Appendage Perforation by the Watchman Device: Considerations for Emergency Repair
  • +2
  • Saqib Masroor,
  • Qiong Qiu,
  • Mohamad Alghothani,
  • rajesh Gupta,
  • george moukarbel
Saqib Masroor
University of Toledo Medical Center
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Qiong Qiu
University of Toledo Medical Center
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Mohamad Alghothani
University of Toledo - Health Science Campus
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rajesh Gupta
University of Toledo - Health Science Campus
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george moukarbel
University of Toledo Medical Center
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Abstract

Percutaneous occlusion of the left atrial appendage is increasingly being used for stroke prevention in patients with non-valvular atrial fibrillation (AF) at high risk of complications from long term anticoagulation. We describe a case of left atrial appendage perforation after Watchman device deployment requiring emergency repair of the left atrium using sternotomy and cardiopulmonary bypass. Technical considerations for surgical decision making are discussed, in hemodynamically unstable patients as well as those at high risk for embolization.

Peer review status:IN REVISION

18 Aug 2020Submitted to Journal of Cardiac Surgery
20 Aug 2020Assigned to Editor
20 Aug 2020Submission Checks Completed
20 Aug 2020Reviewer(s) Assigned
30 Aug 2020Review(s) Completed, Editorial Evaluation Pending
30 Aug 2020Editorial Decision: Revise Minor
01 Sep 20201st Revision Received