Left Atrial Appendage Occlusion Device Placement Aborted Because of Coronary Artery Bypass Graft

John Yin, MD; Garret Hillsdon-Smith, MD; Zachary J. Rhinehart, MD; David Kaczorowski, MD; Sandeep Jain, MD; Harikesh Subramanian, MBBS

JACC: Case Reports (Mar 2023)

Left Atrial Appendage Occlusion Device Placement Aborted Because of Coronary Artery Bypass Graft

John Yin, MD,
Garret Hillsdon-Smith, MD,
Zachary J. Rhinehart, MD,
David Kaczorowski, MD,
Sandeep Jain, MD,
Harikesh Subramanian, MBBS

Affiliations

John Yin, MD: Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
Garret Hillsdon-Smith, MD: Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
Zachary J. Rhinehart, MD: Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
David Kaczorowski, MD: Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
Sandeep Jain, MD: Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
Harikesh Subramanian, MBBS: Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA; Address for correspondence: Dr Harikesh Subramanian, University of Pittsburgh School of Medicine, Department of Anesthesiology and Perioperative Medicine, 200 Lothrop Street, Pittsburgh, Pennsylvania 15213, USA.

Journal volume & issue: Vol. 9
p. 101740

Abstract

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Left atrial appendage occlusion device (LAAO) implantation among patients who have had coronary artery bypass grafting can be challenging. We report a case of scheduled LAAO device implantation that was aborted due to the anomalous course of a bypass graft that appeared to be adherent to the left atrial appendage. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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