Case Report
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World J Cardiol. Apr 26, 2014; 6(4): 213-215
Published online Apr 26, 2014. doi: 10.4330/wjc.v6.i4.213
Cardiac embolism after implantable cardiac defibrillator shock in non-anticoagulated atrial fibrillation: The role of left atrial appendage occlusion
Xavier Freixa, Rut Andrea, Victoria Martín-Yuste, Diego Fernández-Rodríguez, Salvatore Brugaletta, Mónica Masotti, Manel Sabaté
Xavier Freixa, Rut Andrea, Victoria Martín-Yuste, Diego Fernández-Rodríguez, Salvatore Brugaletta, Mónica Masotti, Manel Sabaté, Department of Interventional Cardiology, Thorax Institute, Hospital Clinic of Barcelona, University of Barcelona, 08036 Barcelona, Spain
Author contributions: Freixa X, Andrea R, Martín-Yuste V and Fernández-Rodríguez D contributed to the conception and design of the paper; Freixa X, Andrea R and Fernández-Rodríguez D drafted the article; Freixa X, Andrea R, Martín-Yuste V, Fernández-Rodríguez D, Brugaletta S, Masotti M and Sabaté M contributed to the final review and manuscript approval of the version to be published.
Correspondence to: Xavier Freixa, MD, Department of Interventional Cardiology, Thorax Institute, Hospital Clinic of Barcelona, University of Barcelona, c/Villarroel 170, 08036 Barcelona, Spain. xavierfreixa@hotmail.com
Telephone: +34-93-2275519 Fax: +34-93-2275505
Received: October 18, 2013
Revised: December 6, 2013
Accepted: February 18, 2014
Published online: April 26, 2014
Core Tip

Core tip: The present case report discusses the treatment of a patient with atrial fibrillation and contraindication to anticoagulation who presented with a massive peripheral embolism after an implantable cardiac defibrillator shock. The manuscript describes the successful management of the patient and discusses a clinical setting that might be associated with an increased cardioembolic risk.