Late presentation of left atrial appendage erosion and perforation by an Amplatzer™ Amulet™ closure device: a case report

Ben Wilkins; Christian L Carranza; Lars Søndergaard; Ole De Backer

doi:10.1093/ehjcr/ytaa079

Late presentation of left atrial appendage erosion and perforation by an Amplatzer™ Amulet™ closure device: a case report

Ben Wilkins, Christian L Carranza, Lars Søndergaard, Ole De Backer

Abstract

Background: Percutaneous left atrial appendage (LAA) closure may reduce the risk of cardioembolic stroke in patients with non-valvular atrial fibrillation. Given the prophylactic nature of the procedure, identifying and managing complications are paramount.

Case summary: A 73-year-old man presented 14 months after percutaneous LAA closure with syncope and acute pericardial tamponade which required surgical exploration and haemostasis; the most temporally remote account of this complication albeit amongst very few case reports. Tissue erosion by the Amplatzer™ Amulet™ LAA closure device (Abbott, Plymouth, MN, USA) was noted at two separate anatomical locations, corresponding to the device disc and lobe, which has not been described previously.

Discussion: This case report highlights the anatomical relationship between the LAA and its surrounding structures, and the importance of recognizing the risk of late device erosion.

Original language	English
Journal	European Heart Journal - Case Reports
Volume	4
Issue number	3
Pages (from-to)	1-5
Number of pages	5
ISSN	2514-2119
DOIs	https://doi.org/10.1093/ehjcr/ytaa079
Publication status	Published - Jun 2020

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10.1093/ehjcr/ytaa079

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title = "Late presentation of left atrial appendage erosion and perforation by an Amplatzer{\texttrademark} Amulet{\texttrademark} closure device: a case report",

abstract = "Background: Percutaneous left atrial appendage (LAA) closure may reduce the risk of cardioembolic stroke in patients with non-valvular atrial fibrillation. Given the prophylactic nature of the procedure, identifying and managing complications are paramount.Case summary: A 73-year-old man presented 14 months after percutaneous LAA closure with syncope and acute pericardial tamponade which required surgical exploration and haemostasis; the most temporally remote account of this complication albeit amongst very few case reports. Tissue erosion by the Amplatzer{\texttrademark} Amulet{\texttrademark} LAA closure device (Abbott, Plymouth, MN, USA) was noted at two separate anatomical locations, corresponding to the device disc and lobe, which has not been described previously.Discussion: This case report highlights the anatomical relationship between the LAA and its surrounding structures, and the importance of recognizing the risk of late device erosion.",

author = "Ben Wilkins and Carranza, {Christian L} and Lars S{\o}ndergaard and {De Backer}, Ole",

note = "{\textcopyright} The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology.",

year = "2020",

month = jun,

doi = "10.1093/ehjcr/ytaa079",

language = "English",

volume = "4",

pages = "1--5",

journal = "European Heart Journal - Case Reports",

issn = "2514-2119",

publisher = "Oxford University Press",

number = "3",

}

TY - JOUR

T1 - Late presentation of left atrial appendage erosion and perforation by an Amplatzer™ Amulet™ closure device

T2 - a case report

AU - Wilkins, Ben

AU - Carranza, Christian L

AU - Søndergaard, Lars

AU - De Backer, Ole

PY - 2020/6

Y1 - 2020/6

N2 - Background: Percutaneous left atrial appendage (LAA) closure may reduce the risk of cardioembolic stroke in patients with non-valvular atrial fibrillation. Given the prophylactic nature of the procedure, identifying and managing complications are paramount.Case summary: A 73-year-old man presented 14 months after percutaneous LAA closure with syncope and acute pericardial tamponade which required surgical exploration and haemostasis; the most temporally remote account of this complication albeit amongst very few case reports. Tissue erosion by the Amplatzer™ Amulet™ LAA closure device (Abbott, Plymouth, MN, USA) was noted at two separate anatomical locations, corresponding to the device disc and lobe, which has not been described previously.Discussion: This case report highlights the anatomical relationship between the LAA and its surrounding structures, and the importance of recognizing the risk of late device erosion.

AB - Background: Percutaneous left atrial appendage (LAA) closure may reduce the risk of cardioembolic stroke in patients with non-valvular atrial fibrillation. Given the prophylactic nature of the procedure, identifying and managing complications are paramount.Case summary: A 73-year-old man presented 14 months after percutaneous LAA closure with syncope and acute pericardial tamponade which required surgical exploration and haemostasis; the most temporally remote account of this complication albeit amongst very few case reports. Tissue erosion by the Amplatzer™ Amulet™ LAA closure device (Abbott, Plymouth, MN, USA) was noted at two separate anatomical locations, corresponding to the device disc and lobe, which has not been described previously.Discussion: This case report highlights the anatomical relationship between the LAA and its surrounding structures, and the importance of recognizing the risk of late device erosion.

U2 - 10.1093/ehjcr/ytaa079

DO - 10.1093/ehjcr/ytaa079

M3 - Journal article

C2 - 32617484

SN - 2514-2119

VL - 4

SP - 1

EP - 5

JO - European Heart Journal - Case Reports

JF - European Heart Journal - Case Reports

IS - 3

ER -

Late presentation of left atrial appendage erosion and perforation by an Amplatzer™ Amulet™ closure device: a case report

Abstract

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