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Document Details : Title: Left atrial appendage occlusion and pulmonary vein isolation: interest of non-invasive imaging Author(s): S. Marchandise , C. Scavée , C. Goesaert , J.-L. Vanoverschelde , J. Kefer Journal: Acta Cardiologica Volume: 66 Issue: 5 Date: 2011 Pages: 653-656 DOI: 10.2143/AC.66.5.2131094 Abstract : A 67-year-old woman with paroxysmal atrial fibrillation (AF), not a candidate for anticoagulant therapy, underwent a combined procedure of pulmonary vein isolation (PVI) and occlusion of the left atrial appendage (LAA) with the Amplatzer® cardiac plug prosthesis (AGA Medical Corporation, Plymouth, USA). After PVI, implantation of the Amplatzer® cardiac plug was performed under transoesophageal echocardiography guidance after a complete evaluation of the LAA obtained by different imaging techniques. One month later, multidetector computed tomography and transoesophageal echocardiography confirmed proper position of the Amplatzer® cardiac plug not interfering with the surrounding structures and the absence of complications resulting from either PVI or LAA closure. |