Successful New Generation LAA Closure Device Implantation After Prior Incomplete Surgical LAA Ligation

Hemal Bhatt; Lucy M Safi; Vladimir Jelnin; Tilak K R Pasala; Grant R Simons

doi:10.1016/j.jaccas.2021.06.027

Successful New Generation LAA Closure Device Implantation After Prior Incomplete Surgical LAA Ligation

JACC Case Rep. 2021 Sep 15;3(12):1419-1421. doi: 10.1016/j.jaccas.2021.06.027.

Authors

Hemal Bhatt¹, Lucy M Safi¹, Vladimir Jelnin¹, Tilak K R Pasala¹, Grant R Simons²

Affiliations

¹ Structural and Congenital Heart Center, Hackensack University Medical Center, Hackensack, New Jersey, USA.
² Division of Cardiac Electrophysiology, Hackensack University Medical Center, Hackensack, New Jersey, USA.

Abstract

We present a case of percutaneous closure of a prior incomplete surgical left atrial appendage (LAA) ligation after a failed closure attempt using the first-generation Watchman device. The new generation Watchman FLX device (Boston Scientific) was implanted in this technically and anatomically challenging LAA patient using multimodality fusion imaging. (Level of Difficulty: Advanced.).

Keywords: 3D, 3-dimensional; CT, computed tomography; LAA, left atrial appendage; TEE, transesophageal echocardiogram; fusion imaging; left atrial appendage; percutaneous closure; transesophageal echocardiogram; transseptal puncture.