JACC. Case reports · 2025
Late-Onset Pericardial Effusion and Device Extrusion After Left Atrial Appendage Occluder Implantation.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Darwish Omar, Ghanta Sai Nikhila, Randhawa Sandeep, Vallurupalli Srikanth, Tarun Tushar, Brazil Leah, Streitman John, Devabhaktuni Subodh
Аннотация
BACKGROUND: We present a case of Watchman device extrusion from left atrial appendage (LAA) free wall 6 months after implantation in a patient with longstanding persistent atrial fibrillation.
CASE SUMMARY: A 74-year-old male with longstanding persistent atrial fibrillation of 15 years duration was implanted with a Watchman device as he cannot be on long-term oral anticoagulation due to a history of multiple falls. Six months post implantation, repeat transesophageal echocardiogram revealed a thrombus on the epicardial aspect of LAA and a large posterior pericardial effusion. The patient subsequently underwent surgical removal of both the LAA and the protruding Watchman device.
DISCUSSION: In the case we present, the patient developed a clinically significant pericardial effusion 6 months after the Watchman device implantation, accompanied by left atrial extrusion, which was not reported to our knowledge.
TAKE-HOME MESSAGE: Complications of Watchman devices respect no timeline boundaries and should be kept in mind when evaluating cardiac tamponade in patients with an implanted Watchman device.
CASE SUMMARY: A 74-year-old male with longstanding persistent atrial fibrillation of 15 years duration was implanted with a Watchman device as he cannot be on long-term oral anticoagulation due to a history of multiple falls. Six months post implantation, repeat transesophageal echocardiogram revealed a thrombus on the epicardial aspect of LAA and a large posterior pericardial effusion. The patient subsequently underwent surgical removal of both the LAA and the protruding Watchman device.
DISCUSSION: In the case we present, the patient developed a clinically significant pericardial effusion 6 months after the Watchman device implantation, accompanied by left atrial extrusion, which was not reported to our knowledge.
TAKE-HOME MESSAGE: Complications of Watchman devices respect no timeline boundaries and should be kept in mind when evaluating cardiac tamponade in patients with an implanted Watchman device.