Risk of stroke and thrombus formation from delay incontinence of a PLAATO-device in Friedreich ataxia.
We present the case of a 76-year-old female with suspected Friedreich ataxia, in whom leakage and thrombosis of a percutaneously implanted left atrial appendage occluder (PLAATO) was observed 2 years after implantation. Because of late developing leakages and thrombi, regular transesophageal echocardiographic examinations should be carried out in patients with occluded left atrial appendages. In view of these complications and the potential important hemodynamic role of the left atrial appendage, the benefit of its occlusion is questionable, and the indications of PLAATO should be strongly reconsidered.
Second Medical Department, Krankenanstalt Rudofstiftung, Vienna, Austria. claudia.stoellberger@chello.at
Claudia
C
Stöllberger
Josef
J
Finsterer
Marion
M
Avanzini
Günther
G
Mölzer
Franz
F
Weidinger
D000368:Aged; D020517:Atrial Appendage / Q000000981:diagnostic imaging; D001281:Atrial Fibrillation / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation*; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D004868:Equipment Failure; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D005621:Friedreich Ataxia / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D011474:Prosthesis Design; D020521:Stroke / Q000209:etiology* / Q000517:prevention & control; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000517:prevention & control; D013997:Time Factors
D005343:Fibrinolytic Agents