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Netherlands Heart Journal
Published in: Netherlands Heart Journal 2/2017

Open Access 01-02-2017 | Special Article

Percutaneous closure of a left atrial appendage with relevant suture dehiscence

Authors: L. Kleinebrecht, V. Veulemans, A. Polzin, M. Kelm, T. Zeus

Published in: Netherlands Heart Journal | Issue 2/2017

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Abstract

Atrial fibrillation is a widespread disease and highly relevant as it carries an extended risk for ischaemic stroke. Surgical closure of the left atrial appendage is routinely performed during open heart surgery in patients with atrial fibrillation with the aim of thromboembolic protection. In this report we present a successful percutaneous closure of a left atrial appendage, which showed clinically relevant suture dehiscence several years after surgical closure.
Literature
1.
Camm AJ, Lip GY, De Caterina R, et al. 2012 focused update of the ESC Guidelines for the management of atrial fibrillation: an update of the 2010 ESC Guidelines for the management of atrial fibrillation – developed with the special contribution of the European Heart Rhythm Association. Europace. 2012;14:1385–413.CrossRefPubMed
2.
Kanderian AS, Gillinov AM, Pettersson GB, et al. Success of surgical left atrial appendage closure: assessment by transesophageal echocardiography. J Am Coll Cardiol. 2008;52:924–9.CrossRefPubMed
3.
Reddy VY, Sievert H, Halperin J, et al. Percutaneous left atrial appendage closure vs warfarin for atrial fibrillation: a randomized clinical trial. JAMA. 2014;312:1988–98.CrossRefPubMed
4.
Holmes DR Jr., Kar S, Price MJ, et al. Prospective randomized evaluation of the watchman left atrial appendage closure device in patients with atrial fibrillation versus long-term warfarin therapy: the PREVAIL trial. J Am Coll Cardiol. 2014;64:1–12.CrossRefPubMed
5.
Garcia-Fernandez MA, Perez-David E, Quiles J, et al. Role of left atrial appendage obliteration in stroke reduction in patients with mitral valve prosthesis: a transesophageal echocardiographic study. J Am Coll Cardiol. 2003;42:1253–8.CrossRefPubMed
Metadata
Title
Percutaneous closure of a left atrial appendage with relevant suture dehiscence
Authors
L. Kleinebrecht
V. Veulemans
A. Polzin
M. Kelm
T. Zeus
Publication date
01-02-2017
Publisher
Bohn Stafleu van Loghum
Published in
Netherlands Heart Journal / Issue 2/2017
Print ISSN: 1568-5888
Electronic ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-016-0933-4

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