Left Atrial Appendage Occlusion Device Placement Aborted Because of Coronary Artery Bypass Graft

John Yin; Garret Hillsdon-Smith; Zachary J Rhinehart; David Kaczorowski; Sandeep Jain; Harikesh Subramanian

doi:10.1016/j.jaccas.2023.101740

Left Atrial Appendage Occlusion Device Placement Aborted Because of Coronary Artery Bypass Graft

JACC Case Rep. 2023 Jan 30:9:101740. doi: 10.1016/j.jaccas.2023.101740. eCollection 2023 Mar 1.

Authors

John Yin¹, Garret Hillsdon-Smith¹, Zachary J Rhinehart², David Kaczorowski³, Sandeep Jain², Harikesh Subramanian¹

Affiliations

¹ Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
² Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
³ Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Abstract

Left atrial appendage occlusion device (LAAO) implantation among patients who have had coronary artery bypass grafting can be challenging. We report a case of scheduled LAAO device implantation that was aborted due to the anomalous course of a bypass graft that appeared to be adherent to the left atrial appendage. (Level of Difficulty: Intermediate.).

Keywords: CABG, coronary artery bypass graft; LAA, left atrial appendage; LAAO, left atrial appendage occlusion; SVG, saphenous vein graft; TEE, transesophageal echocardiography; anesthesia; atrial fibrillation; atrial flutter; echocardiography; imaging.