Case Presentation: This is a 77 year old woman with a history of severe aortic stenosis, severe mitral regurgitation, and chronic atrial fibrillation (afib) on coumadin. In 2017, she underwent bioprosthetic aortic valve replacement, mitral valve repair, biatrial ablation (Maze procedure), and left atrial appendage ligation (WATCHMAN procedure), after which she was to continue coumadin [...]

Case Presentation: Contradictory to stroke prevention by left atrial appendage occlusion (LAAO) device, we present a case of a gentleman who suffered an air embolic stroke in the right fronto-temporal region during the procedure. 66-year-old male with a history of atrial fibrillation was undergoing LAAO device procedure. Air was noticed in his left ventricle which [...]

Case Presentation: A 76-year-old male with PMH of atrial fibrillation s/p WATCHMAN device three years prior to presentation, CAD, and COPD presented to the emergency department with altered mental status, generalized weakness, and dysarthria for one day. He denied having any headache, nausea, vomiting, trauma, numbness, tingling, or palpitations. On physical exam, his vitals were [...]

Background: This umbrella meta-analysis assesses the safety of left atrial appendage (LAA) closure by minimal invasive procedures compared to oral anticoagulants (OACs) in patients with atrial fibrillation (AF), concentrating on adverse events and overall clinical outcomes. The results seek to elucidate the most effective treatment. This umbrella meta-analysis intends to evaluate the safety and efficacy [...]