Successful left atrial appendage closure using watchman in a patient with an atrial septal defect closure device

Title : Successful left atrial appendage closure using watchman in a patient with an atrial septal defect closure device

Abstract:

Atrial fibrillation is a common arrhythmia that raises stroke risk, often requiring anticoagulation. This case report discusses a 79-year-old female with Atrial fibrillation and prior stroke, who was intolerant to anticoagulation due to recurrent bleeding. Percutaneous left atrial appendage occlusion is the next step in management to reduce stroke. She had a patent foramen ovale closure with an Amplatzer septal occluder, posing challenges for left atrial appendage occlusion procedure. In this case, watchman device was successfully placed under transesophageal echocardiography and fluoroscopy, avoiding interference with the patent foramen ovale device.

Biography:

Dr. Kumar studied MBBS at the Government Medical College Jammu, India and graduated in 2023. He gave his USMLE Step 1 and OET and went for clinical rotations for US clinical experience in 2024. He rotated at Cleveland Clinic and HCA Clear Lake in the department of Cardiology. He then joined the Junior Residency at All India Institute of Medical Sciences, New Delhi in 2025. He want to pursue his Internal Medicine Residency in the US and later wants to do Cardiology. He is interested in research and reporting interesting cases, collaborating and presenting to get to learn from the cardiology community.