Aortic Rupture and Hemorrhagic Shock After Percutaneous Retrieval of an Embolized Left Atrial Appendage Occluder

Angelo Mastrangelo; Stefano Galli; Piero Montorsi; Antonio L Bartorelli

doi:10.1016/j.jaccas.2022.03.004

Aortic Rupture and Hemorrhagic Shock After Percutaneous Retrieval of an Embolized Left Atrial Appendage Occluder

JACC Case Rep. 2022 Apr 20;4(8):486-490. doi: 10.1016/j.jaccas.2022.03.004.

Authors

Angelo Mastrangelo¹, Stefano Galli¹, Piero Montorsi^{1

2}, Antonio L Bartorelli^{1

3}

Affiliations

¹ Department of Interventional Cardiology, Centro Cardiologico Monzino, Istituto di Ricovero e Cura a Carattere Scientifico, University of Milan, Milan, Italy.
² Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
³ Department of Biomedical and Clinical Sciences "Luigi Sacco," University of Milan, Milan, Italy.

Abstract

Left atrial appendage (LAA) closure may be complicated by occluder embolization. Percutaneous retrieval is preferred for devices embolized to large vessels. In this report, the successful percutaneous retrieval of an LAA occluder embolized to the abdominal aorta was followed by several complications, culminating in iatrogenic aortic rupture requiring endovascular repair. (Level of Difficulty: Advanced.).

Keywords: AA, abdominal aorta; CFA, common femoral artery; LAA, left atrial appendage; MSCT, multislice computed tomography; PTA, percutaneous transluminal angioplasty; aorta; atrial fibrillation; complication; hemorrhage; hemostasis; occlude; thrombosis.

Publication types

Case Reports