Key result
Simultaneous percutaneous occlusion of a left atrial appendage through an atrial septal defect followed by closure of the atrial septal defect was successfully performed without complications.
Case Report (n=1)
No
Simultaneous percutaneous closure of the LAA and ASD using the ASD as the access route is a feasible and effective strategy for stroke prevention in patients with non-valvular AF, ASD, and high bleeding risk.
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Supports combined LAA-ASD closure via transseptal access in select AF cases; hypothesis-generating and should not yet change practice.
Left atrial appendage (LAA) occlusion can be employed as an alternative treatment to oral anticoagulation in patients with atrial fibrillation to prevent embolic events. Atrial septal defect (ASD) may be related with right heart dysfunction and allow paradoxical embolism to occur. However, occlusion of both LAA through atrial access with ostium secundum ASD and ASD in the same setting is unusual. Therefore, we report a case in which a LAA and an ASD was sequentially occluded.
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Song et al. (2017) conducted a case report in Atrial fibrillation and atrial septal defect (n=1). Simultaneous closure of left atrial appendage and atrial septal defect was evaluated on Procedural success and absence of complications. Simultaneous percutaneous occlusion of a left atrial appendage through an atrial septal defect followed by closure of the atrial septal defect was successfully performed without complications.
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