[LEFT ATRIAL APPENDAGE CLOSURE IN A PATIENT WITH SYSTEMIC SCLEROSIS]

Area of Science:

• Cardiology
• Gastroenterology
• Rheumatology

Background:

• Systemic sclerosis (scleroderma) can affect multiple organ systems, including the heart and gastrointestinal tract.
• Chronic atrial fibrillation necessitates anticoagulant therapy, which can increase bleeding risks, particularly in patients with systemic sclerosis.

Observation:

• A 69-year-old female with systemic sclerosis and chronic atrial fibrillation presented with recurrent gastrointestinal bleeding while on anticoagulation.
• Percutaneous left atrial appendage closure was performed to address the bleeding complications.

Findings:

• The case highlights the complex management of anticoagulation in patients with systemic sclerosis.
• Percutaneous left atrial appendage closure is presented as a viable alternative for managing bleeding risks in specific clinical scenarios.

Implications:

• This case underscores the need for individualized treatment strategies in patients with systemic sclerosis and atrial fibrillation.
• Understanding the impact of scleroderma on cardiac and digestive systems is crucial for optimizing patient care and exploring alternative therapies like left atrial appendage closure.