Management of Residual Left Atrial Appendage Stump with a Second
Epicardial Clip.
Abstract
Epicardial exclusion of LAA has gained increasing popularity since its
introduction in 2009. While the clip has demonstrated a success rate
ranging from 93.9-100% in excluding the LAA, one significant
complication is incomplete exclusion due to residual stump
(> 1 cm) as a result of the clip being deployed too
distally. We describe here the first reported case of implanting a
second clip underneath the first clip to obliterate the residual stump
for a 71-year-old male with AF evaluated for intervention for stroke
risk reduction.