Article Text

Download PDFPDF
Delayed presentation of pulmonary artery perforation by an Amulet left atrial appendage closure device
  1. Edward Wang1,
  2. Wah Wah Lin1,
  3. Xiao Fang Xu2,
  4. Chris Merry1
  1. 1Department of Cardiothoracic Surgery and Transplantation, Fiona Stanley Hospital, Murdoch, Western Australia, Australia
  2. 2Department of Cardiology and Transplantation, Fiona Stanley Hospital, Murdoch, Western Australia, Australia
  1. Correspondence to Dr Edward Wang, Edward.Wang{at}


Left atrial appendage occlusion (LAAO) devices offer stroke prevention in atrial fibrillation for patients intolerant of anticoagulation. Device placement leading to bleeding and cardiac tamponade have been reported periprocedurally but delayed presentations have not been reported in the literature. We present the case of an Amulet LAAO device causing erosion and bleeding from the main pulmonary artery that presented with cardiac tamponade 6 months after device placement. The pulmonary artery defect was repaired primarily and buttressed with a pericardial patch with good result.

  • interventional cardiology
  • resuscitation
  • cardiothoracic surgery
View Full Text

Statistics from


  • Contributors EW authored the paper. WWL proofread the paper. XFX assisted with acquiring imaging and theorising a causative factor for the complication. CM was the surgeon in charge and proofread the paper.

  • Funding No sponsors or funding was sought for this project

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.