title: [LEFT ATRIAL APPENDAGE CLOSURE IN A PATIENT WITH SYSTEMIC SCLEROSIS].
abstract: We report the clinical history of a 69 year-old female who suffered from systemic sclerosis and in whom we performed a percutaneous left atrial appendage closure due to recurrent gastrointestinal bleedings under anticoagulant therapy for chronic atrial fibrillation. We review the impact of scleroderma on the cardiac and digestive systems and discuss the issue of anticoagulation and its alternatives in uncommon clinical situations. We also describe the indications, technical aspects and potential complications of percutaneous left atrial appendage closure.
authors.forename: G
authors.initials: G
authors.lastname: Haeck
authors.forename: Y
authors.initials: Y
authors.lastname: Bataille
authors.forename: J M
authors.initials: JM
authors.lastname: Herzet
authors.forename: E
authors.initials: E
authors.lastname: Lecoq
authors.forename: E
authors.initials: E
authors.lastname: Hoffer
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D020517:Atrial Appendage / Q000601:surgery*; D001281:Atrial Fibrillation / Q000150:complications / Q000188:drug therapy; D017675:CREST Syndrome / Q000601:surgery; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000601:surgery; D006801:Humans; D012008:Recurrence; D012595:Scleroderma, Systemic / Q000601:surgery*
chemical_list: D000925:Anticoagulants