Evidence map›Paper›PMID 38449592›Full record

ArticleHeliyon2024

Emergent surgical retrieval of a left atrial appendage occluder migrated into the left ventricular outflow tract with secondary massive mitral regurgitation: A case report and literature review.

Wei Ye, Wei Zhou, Weibing Zhao, Jingjing Mao, Wei Wang, Liang Wei, Linghui Zhao, Yan Xu, Jing Yu, Zhi Fu and 2 more

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Heliyon, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Wei YeDepartment of Anesthesiology, Huai'an Hospital Affiliated to Yangzhou University, Huai'an, Jiangsu, 223200, China.
Wei ZhouDepartment of Anesthesiology, the Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu, 225012, China.
Weibing ZhaoDepartment of Anesthesiology, Huai'an Hospital Affiliated to Yangzhou University, Huai'an, Jiangsu, 223200, China.
Jingjing MaoDepartment of Anesthesiology, Huai'an Hospital Affiliated to Yangzhou University, Huai'an, Jiangsu, 223200, China.
Wei WangHeart and Great Vessels Center, the Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu, 225012, China.
Liang WeiCardiology Center, Huai'an Hospital Affiliated to Yangzhou University, Huai'an, Jiangsu, 223200, China.
Linghui ZhaoCardiology Center, Huai'an Hospital Affiliated to Yangzhou University, Huai'an, Jiangsu, 223200, China.
Yan XuDepartment of Operating Room, Huai'an Hospital Affiliated to Yangzhou University, Huai'an, Jiangsu, 223200, China.
Jing YuDepartment of Operating Room, Huai'an Hospital Affiliated to Yangzhou University, Huai'an, Jiangsu, 223200, China.
Zhi FuHeart and Great Vessels Center, the Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu, 225012, China.
Qiang WangHeart and Great Vessels Center, the Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu, 225012, China.
Zhuan ZhangDepartment of Anesthesiology, the Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu, 225012, China.
Yangzhou University · CNSecond People’s Hospital of Huai’an · CNXuzhou Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thrombotic complications of atrial fibrillation continue to pose a significant challenge in clinical practice today. Left atrial appendage occlusion (LAAO) has emerged as a promising alternative to oral anticoagulation for high-risk patients with atrial fibrillation. However, despite the potential benefits, there is still the possibility of life-threatening complications such as device dislocation. In this case study, we present a patient who experienced severe hemodynamic disturbances due to the embolization of LAAO device into the left ventricular outflow tract, resulting in a torn mitral valve and secondary massive mitral regurgitation, just 3 hours after the procedure. As a result, emergent surgical intervention was required to remove the device and repair the mitral valve. We also conducted a review of previous studies on the retrieval of dislodged left atrial appendage occluders through surgical procedures. It is crucial to maintain vigilance, foster interdisciplinary collaboration, and respond promptly to ensure the safety and efficacy of LAAO procedures.

Indexed as

Cardiac surgeryCase reportDislodgeEmbolizationLeft atrial appendage occlusion

Identifiers

PMID38449592
PMCPMC10915572
OpenAlexW4392301841

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.