open access

Vol 12, No 5 (2017)
Case Reports
Published online: 2017-11-22
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Left atrial appendage occlusion as a treatment of choice for patients with atrial fibrillation and contraindications for anticoagulation — a case study

Aleksandra Bień, Małgorzata Krzciuk, Agnieszka Bojarska-Junak
DOI: 10.5603/FC.2017.0091
·
Folia Cardiologica 2017;12(5):484-488.

open access

Vol 12, No 5 (2017)
Case Reports
Published online: 2017-11-22

Abstract

The use of anticoagulants in the management of cardiac arrhythmias, such as atrial fibrillation, is associated with increased risk of bleeding, especially gastrointestinal. According to guidelines of the European Society of Cardiology, for patients in whom oral anticoagulation is contraindicated, left atrial appendage closure should be considered. A case of 78-year-old male patient presents both thromboembolic (stroke) and haemorrhagic complications, which were the indications to surgical treatment.

Abstract

The use of anticoagulants in the management of cardiac arrhythmias, such as atrial fibrillation, is associated with increased risk of bleeding, especially gastrointestinal. According to guidelines of the European Society of Cardiology, for patients in whom oral anticoagulation is contraindicated, left atrial appendage closure should be considered. A case of 78-year-old male patient presents both thromboembolic (stroke) and haemorrhagic complications, which were the indications to surgical treatment.
Get Citation

Keywords

left atrial appendage occlusion, atrial fibrillation, oral anticoagulants, thromboembolic risk, bleeding risk

About this article
Title

Left atrial appendage occlusion as a treatment of choice for patients with atrial fibrillation and contraindications for anticoagulation — a case study

Journal

Folia Cardiologica

Issue

Vol 12, No 5 (2017)

Pages

484-488

Published online

2017-11-22

DOI

10.5603/FC.2017.0091

Bibliographic record

Folia Cardiologica 2017;12(5):484-488.

Keywords

left atrial appendage occlusion
atrial fibrillation
oral anticoagulants
thromboembolic risk
bleeding risk

Authors

Aleksandra Bień
Małgorzata Krzciuk
Agnieszka Bojarska-Junak

References (6)
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  2. Kleczyński P, Sorysz D, Zawiślak B, et al. Przezskórne zamknięcie uszka lewego przedsionka systemem Watchman® u pacjenta z przetrwałym migotaniem przedsionków. Kardiol Pol. 2012; 70(9): 965–967.
  3. Connolly SJ, Ezekowitz MD, Yusuf S, et al. Randomized Evaluation of Long-Term Anticoagulation Therapy Investigators. Newly identified events in the RE-LY trial. N Engl J Med. 2010; 363(19): 1875–1876.
  4. Lewalter T, Kanagaratnam P, Schmidt B, et al. Ischaemic stroke prevention in patients with atrial fibrillation and high bleeding risk: opportunities and challenges for percutaneous left atrial appendage occlusion. Europace. 2014; 16(5): 626–630.
  5. Blackshear JL, Odell JA. Appendage obliteration to reduce stroke in cardiac surgical patients with atrial fibrillation. Ann Thorac Surg. 1996; 61(2): 755–759.
  6. Holmes DR, Reddy VY, Turi ZG, et al. PROTECT AF Investigators. Percutaneous closure of the left atrial appendage versus warfarin therapy for prevention of stroke in patients with atrial fibrillation: a randomised non-inferiority trial. Lancet. 2009; 374(9689): 534–542.

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