Left atrial appendage closure for stroke prevention in patients with atrial fibrillation and hereditary hemorrhagic telangiectasia.
Atrial fibrillation (AF) is the most common cardiac arrhythmia, affecting millions of individuals worldwide, and a major risk factor for disabling cerebral embolic stroke. Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant inherited disorder, characterized by vascular abnormalities with high-bleeding tendency and therefore intolerance for oral anticoagulation. We report a case of percutaneous closure of the left atrial appendage, which might be a good alternative strategy instead of chronic oral anticoagulation to protect patients with high-risk AF and HHT from cerebral embolic strokes.
Department of Cardiology, St. Antonius Hospital, 3435 CM Nieuwegein, The Netherlands.
Sebastiaan
S
Velthuis
Department of Cardiology, St. Antonius Hospital, 3435 CM Nieuwegein, The Netherlands.
Martin J
MJ
Swaans
Department of Pulmonology, St. Antonius Hospital, 3435 CM Nieuwegein, The Netherlands.
Johannes J
JJ
Mager
Department of Cardiology, St. Antonius Hospital, 3435 CM Nieuwegein, The Netherlands.
Benno J W M
BJ
Rensing
Department of Cardiology, St. Antonius Hospital, 3435 CM Nieuwegein, The Netherlands.
Lucas V A
LV
Boersma
Department of Cardiology, St. Antonius Hospital, 3435 CM Nieuwegein, The Netherlands.
Martijn C
MC
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