JACC: Case Reports (Apr 2020)

Persistence and Distortion of Electrical Activity in the LAA 5 Years After Endovascular Occlusion

  • Rohit K. Kharbanda, MD,
  • Frank R.N. van Schaagen, MD,
  • Ad J.J.C. Bogers, MD, PhD,
  • Natasja M.S. de Groot, MD, PhD

Journal volume & issue
Vol. 2, no. 4
pp. 583 – 587

Abstract

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This is the first report demonstrating persistence and distortion of electrical activity in the left atrial appendage 5 years after endovascular occlusion with a Watchman device. Electrical conduction is impaired providing an arrhythmogenic substrate for atrial tachyarrhythmias. Localized inflammation may result in structural and electrical remodeling in these patients. (Level of Difficulty: Intermediate.)

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