I read with interest the manuscript by Masroor and co-authors on the
strategy of surgical repair for left atrial appendage perforation
following implantation of Watchman device. The authors present the
successful management of this complications and they comment on the
preferred therapeutic strategy. This is a particular sensitive subject
nowadays, since the widespread use and the constant growth of a variety
of transcatheter cardiac interventions has inevitably increased the
number of patients who are exposed to this type of complication.