LAAO Device Mass: A Classic Condition Involving a Not - So - Classic Device

Authors

Ryan Gardner, MD, Thomas Jefferson University HospitalFollow
Rabia Naheed, MD, Carle Foundation Hospital
Youssef Elfatatry, MD, Thomas Jefferson University HospitalFollow
Irfan Ahsan, MD, Thomas Jefferson University HospitalFollow
Alyson N. Owen, MD, Thomas Jefferson University HospitalFollow

Abstract

Current evidence suggests Class 2a recommendation for a left atrial appendage occlusion with a closure device in patients with atrial fibrillation who have moderate to high risk of stroke (CHA2DS2-VASc score ≥2) and a contraindication to long-term oral anticoagulation due to a nonreversible cause.¹ Watchman device (WD) related infection is infrequent due to complete endothelialization of the device in a few weeks.² We report a highly challenging case of possible WD-related infection that involved complex decision-making.

Recommended Citation

Gardner, MD, Ryan; Naheed, MD, Rabia; Elfatatry, MD, Youssef; Ahsan, MD, Irfan; and Owen, MD, Alyson N. (2024) "LAAO Device Mass: A Classic Condition Involving a Not - So - Classic Device," The Medicine Forum: Vol. 25, Article 8.
DOI: https://doi.org/10.29046/TMF.025.1.007
Available at: https://jdc.jefferson.edu/tmf/vol25/iss1/8