Document is current
Any future updates will be listed below
-
Authors
Kivrak, Ahmet https://orcid.org/0000-0001-5232-8436
Ates, Ahmet Hakan https://orcid.org/0000-0001-5414-7268
Dogan, Mert https://orcid.org/0000-0002-2965-058X
Coteli, Cem https://orcid.org/0000-0001-5520-7103
Canpolat, Ugur https://orcid.org/0000-0002-4250-1706
Karakulak, Ugur Nadir https://orcid.org/0000-0001-9146-8765
Sahiner, Mehmet Levent https://orcid.org/0000-0002-0985-3144
Kaya, Ergun Barıs https://orcid.org/0000-0002-4424-3704
Aytemir, Kudret https://orcid.org/0000-0001-9279-8424
- License Information
-
More Information
Article History
Received: 7 April 2025
Accepted: 13 June 2025
First Online: 22 July 2025
Declarations
:
: Not applicable.
: Written informed consent was obtained from the patients to publish this paper.
: The authors declare no competing interest.
: Pulmonary artery perforation is a rare but potentially fatal complication of percutaneous LAAC. With increasing procedural volumes, recognizing anatomical risk factors, especially the proximity between the LAA and PA, has become essential for interventional cardiologists. This report emphasizes the value of detailed pre-procedural imaging, such as cardiac CT or TEE, to assess LAA morphology, PA diameter, and their spatial relationship. Identifying anatomical variants like Type II proximity can guide appropriate device selection and procedural planning. The study also highlights the importance of post-procedural vigilance, particularly in patients with elevated PA pressure or larger closure devices. Sudden hemodynamic deterioration after LAAC should raise suspicion for PA injury, and timely pericardiocentesis or surgical intervention may be life-saving. By combining anatomical awareness, careful technique, and close monitoring, clinicians can reduce the risk of this serious complication and improve patient outcomes.
