Significant Hemoptysis Following Left Atrial Appendage Occlusion in a Patient with Atrial Fibrillation and Thrombus: A Case Study - Summary - MDSpire

Significant Hemoptysis Following Left Atrial Appendage Occlusion in a Patient with Atrial Fibrillation and Thrombus: A Case Study

  • By

  • Qiqi Jin

  • Jianjian Yang

  • Shufang Wu

  • Shanjiang Chen

  • January 5, 2026

  • 0 min

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Objective:

To report a case of massive hemoptysis following left atrial appendage occlusion (LAAO) in a patient with atrial fibrillation and thrombus, highlighting the rarity of this complication.

Key Findings:
  • Massive hemoptysis occurred post-LAAO, a rare complication.
  • The patient was stabilized after emergency interventions including bronchial artery embolization.
  • Follow-up imaging showed significant absorption of hemorrhage with no complications at six months, emphasizing the need for careful monitoring.
Interpretation:

LAAO can be performed in patients with LAAT, but careful monitoring for complications such as hemoptysis is essential, especially in high-risk patients.

Limitations:
  • This is a single case report, limiting generalizability.
  • Long-term outcomes and risks associated with LAAO in patients with LAAT need further investigation, highlighting the need for larger studies.
Conclusion:

LAAO may be a viable option for patients with LAAT, but clinicians should be aware of potential severe complications like hemoptysis, emphasizing the importance of patient selection.

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