Circumflex to Left Atrial Appendage Fistula Associated With Watchman FLX Closure Device

Stefan Milutinovic, MD; Juan Lopez-Mattei, MD; Jeffrey Rosen, MD; Anuj Agarwal, MD; Ricardo O. Escárcega, MD

JACC: Case Reports (Feb 2024)

Circumflex to Left Atrial Appendage Fistula Associated With Watchman FLX Closure Device

Stefan Milutinovic, MD,
Juan Lopez-Mattei, MD,
Jeffrey Rosen, MD,
Anuj Agarwal, MD,
Ricardo O. Escárcega, MD

Affiliations

Stefan Milutinovic, MD: Florida State University College of Medicine Internal Medicine Residency Program at Lee Health, Cape Coral, Florida, USA
Juan Lopez-Mattei, MD: Lee Health Heart Institute, Fort Myers, Florida, USA
Jeffrey Rosen, MD: Lee Health Heart Institute, Fort Myers, Florida, USA; Florida Heart Associates, Fort Myers, Florida, USA
Anuj Agarwal, MD: Lee Health Heart Institute, Fort Myers, Florida, USA; Florida Heart Associates, Fort Myers, Florida, USA
Ricardo O. Escárcega, MD: Florida State University College of Medicine Internal Medicine Residency Program at Lee Health, Cape Coral, Florida, USA; Lee Health Heart Institute, Fort Myers, Florida, USA; Florida Heart Associates, Fort Myers, Florida, USA; Address for correspondence: Dr Ricardo O. Escárcega, Florida Heart Associates, 1550 Barkley Circle, Fort Myers, Florida, USA.

Journal volume & issue: Vol. 29, no. 4
p. 102202

Abstract

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An 82-year-old man who had undergone Watchman FLX (Boston Scientific) device implantation presented with dyspnea. Multimodality evaluation demonstrated a small fistula from the proximal circumflex artery to the left atrial appendage. Anatomically, the left circumflex artery is close to the atrial appendage; therefore, it is plausible that fistula formation could be a late complication of implantation of the device.

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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Abstract

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