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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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Planning and execution of catheter closure of a giant left atrial appendage aneurysm causing recurrent cardioembolism

Sivakumar Kothandam1, Rajeshkumar Ramasamy1

  • 1Department of Pediatric Cardiology, Madras Medical Mission, Chennai, Tamil Nadu, India.

Annals of Pediatric Cardiology
|December 14, 2020
PubMed

Giant left atrial appendage aneurysms (LAAAs) are rare causes of recurrent cardioembolism and managed routinely by surgery. A first catheter closure of a giant LAAA is reported, when a recent cerebral infarct precluded immediate surgery. Planning included ostial measurement on multimodal imaging, echo navigation for septal puncture, rotational angiogram for profiling, overlay imaging for device placement, and cerebral embolic protection from thrombus debris.

Keywords:
Cardioembolismdevice closureleft atrial appendage aneurysmrecurrent embolic strokesrotational angiogram

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