A case report of complex multi-lobed left atrial appendage closure
- VernacularTitle:复杂多分叶左心耳封堵术1例报告
- Author:
Daoqian CHEN
1
;
Jun JI
;
Bing XU
;
Zhen FANG
;
Shenghu HE
Author Information
- Keywords: atrial fibrillation; left atrial appendage closure; LAmbre occluder; multi-lobed left atrial appendage; anticoagulant therapy
- From: Journal of Clinical Medicine in Practice 2023;27(23):91-94
- CountryChina
- Language:Chinese
- Abstract: Atrial fibrillation(AF)is one of common arrhythmia,which is associated with lower quality of life,decreased heart function,and reduced survival rate.Currently,the treatment of AF focuses on improving symptoms,reducing the incidence of complications and mortality,as well as de-creasing emergency department visit or hospitalization related to AF.Percutaneous left atrial append-age closure(LAAC)can reduce the risk of stroke in non-valvular atrial fibrillation(NVAF)patients,and is an effective alternative to oral anticoagulant therapy.This study reported the successful thera-peutic process of LAAC in a patient with persistent AF and coexisting coronary heart disease,and the preoperative transesophageal echocardiography(TEE)showed a complex multi-lobed left atrial append-age,so the LAmbre occluder with small umbrella and large cover design was selected for treatment.
