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

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 ap...

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Main Authors: Stefan Milutinovic, MD, Juan Lopez-Mattei, MD, Jeffrey Rosen, MD, Anuj Agarwal, MD, Ricardo O. Escárcega, MD
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084923005594
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author Stefan Milutinovic, MD
Juan Lopez-Mattei, MD
Jeffrey Rosen, MD
Anuj Agarwal, MD
Ricardo O. Escárcega, MD
author_facet Stefan Milutinovic, MD
Juan Lopez-Mattei, MD
Jeffrey Rosen, MD
Anuj Agarwal, MD
Ricardo O. Escárcega, MD
author_sort Stefan Milutinovic, MD
collection DOAJ
description 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.
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spelling doaj.art-fb8c6d60d5e34df381151f34b62286a92024-02-09T04:49:10ZengElsevierJACC: Case Reports2666-08492024-02-01294102202Circumflex to Left Atrial Appendage Fistula Associated With Watchman FLX Closure DeviceStefan Milutinovic, MD0Juan Lopez-Mattei, MD1Jeffrey Rosen, MD2Anuj Agarwal, MD3Ricardo O. Escárcega, MD4Florida State University College of Medicine Internal Medicine Residency Program at Lee Health, Cape Coral, Florida, USALee Health Heart Institute, Fort Myers, Florida, USALee Health Heart Institute, Fort Myers, Florida, USA; Florida Heart Associates, Fort Myers, Florida, USALee Health Heart Institute, Fort Myers, Florida, USA; Florida Heart Associates, Fort Myers, Florida, USAFlorida 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.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.http://www.sciencedirect.com/science/article/pii/S2666084923005594complicationcomputed tomographycoronary angiography
spellingShingle Stefan Milutinovic, MD
Juan Lopez-Mattei, MD
Jeffrey Rosen, MD
Anuj Agarwal, MD
Ricardo O. Escárcega, MD
Circumflex to Left Atrial Appendage Fistula Associated With Watchman FLX Closure Device
JACC: Case Reports
complication
computed tomography
coronary angiography
title Circumflex to Left Atrial Appendage Fistula Associated With Watchman FLX Closure Device
title_full Circumflex to Left Atrial Appendage Fistula Associated With Watchman FLX Closure Device
title_fullStr Circumflex to Left Atrial Appendage Fistula Associated With Watchman FLX Closure Device
title_full_unstemmed Circumflex to Left Atrial Appendage Fistula Associated With Watchman FLX Closure Device
title_short Circumflex to Left Atrial Appendage Fistula Associated With Watchman FLX Closure Device
title_sort circumflex to left atrial appendage fistula associated with watchman flx closure device
topic complication
computed tomography
coronary angiography
url http://www.sciencedirect.com/science/article/pii/S2666084923005594
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