Retrieval of an Embolized Left Atrial Appendage Occluder From the Aortic Arch Using a Transcatheter Retrieval Device

Figures

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  Figure 1. Transesophageal Echocardiogram Prior to Left Atrial Appendage Occlusion Deployment

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  Figure 2. Computerized Tomography Angiography of the Left Atrial Appendage Prior to Left Atrial Appendage Occlusion Procedure

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  Figure 3. Fluoroscopy and Transesophageal Echocardiography Images Showing Amulet Device Placement Fluoroscopic (A) and transesophageal echocardiographic (B) images demonstrating a well-seated Amulet LAAO placement. LAAO = left atrial appendage occlusion.

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  Figure 4. Follow-Up Transesophageal Echocardiogram Transesophageal echocardiogram demonstrating the absence of the Amulet LAAO device in the left atrial appendage (A) and embolization to the transverse arch of the aorta (B). LAAO = left atrial appendage occlusion.

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  Figure 5. Computed Tomography Showing Dislodged Device CT scan confirming placement of the Amulet LAAO device in the ascending aorta and aortic arch. CT = computed tomography; LAAO = left atrial appendage occlusion.

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  Figure 6. Fluoroscopy Images During Retrieval Fluoroscopic images demonstrating the Amulet LAAO device in the ascending aorta (A), with an attempt of retrieval with the ONO retrieval and gooseneck snare devices (B). LAAO = left atrial appendage occlusion.

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  Figure 7. Gross Specimen Successful removal of the Amulet LAAO device within the ONO retrieval device. LAAO = left atrial appendage occlusion.