Who watches the WATCHMAN? A rare case of lower extremity paralysis.
aortic embolization
aortic occlusion
left atrial appendage closure device
lower extremity paralysis
watchman
watchman embolization
Journal
Journal of the American College of Emergency Physicians open
ISSN: 2688-1152
Titre abrégé: J Am Coll Emerg Physicians Open
Pays: United States
ID NLM: 101764779
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
22
08
2023
revised:
21
09
2023
accepted:
22
09
2023
medline:
9
10
2023
pubmed:
9
10
2023
entrez:
9
10
2023
Statut:
epublish
Résumé
We present a case study involving an elderly patient who experienced dislodgement of a recently implanted WATCHMAN device. Initially, the patient exhibited multiple musculoskeletal symptoms, which raised concerns about alternative causes such as cauda equina syndrome or spinal epidural hematoma. Despite vascular surgery removing the device, the patient's condition deteriorated due to ischemia leading to multisystem organ failure. This case highlights the critical need for emergency physicians to promptly diagnose acute aortic obstruction caused by embolization, given the increasing use of the WATCHMAN device in the aging population to reduce the reliance on anticoagulation. The potential for significant ischemic consequences necessitates immediate intervention to mitigate complications.
Identifiants
pubmed: 37811359
doi: 10.1002/emp2.13052
pii: EMP213052
pmc: PMC10560006
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e13052Informations de copyright
© 2023 The Authors. Journal of the American College of Emergency Physicians Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
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