Cardiac Tamponade And Hemorrhagic Stroke After Left Atrial Appendage Closure
A 74-year-old female with a history of atrial fibrillation, gastrointestinal bleeding, and hypertension underwent an uncomplicated Left Atrial Appendage Closure. Upon recovery in PACU, the patient was found to have a large pericardial effusion with hypotension. Cardiology team performed a bedside pericardiocentesis, after which the patient was admitted to the ICU. The following day, she developed altered mental status and was found to have a hemorrhagic stroke requiring hemicraniectomy. The present case puts in perspective the debate of continuing perioperative anticoagulation in these patients and the rarity of these complications in patients undergoing a left atrial appendage closure.
Zhang J, Aiello A, Navas J. Cardiac tamponade and hemorrhagic stroke after left atrial appendage closure. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.