Cardiac Tamponade And Hemorrhagic Stroke After Left Atrial Appendage Closure

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Conference Proceeding

Publication Date



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.


American Society of Anesthesiology Annual Meeting, New Orleans, LA, October 21-25, 2022.