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72-year-old woman after a left atrial appendage occluder
  1. Christian Hamilton-Craig1,2,3,
  2. Matthew Lambert4,
  3. Aaron Lin1
  1. 1 Department of Cardiology, The Prince Charles Hospital, Brisbane, Queensland, Australia
  2. 2 School of Medicine, Faculty of Health, Griffith University, Sunshine Coast, Queensland, Australia
  3. 3 Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia
  4. 4 Echocardiography Laboratory, The Prince Charles Hospital, Brisbane, Queensland, Australia
  1. Correspondence to Professor Christian Hamilton-Craig, Department of Cardiology, The Prince Charles Hospital, Brisbane QLD 4032, Australia; chamiltoncraig{at}gmail.com

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Clinical introduction

A 72-year-old woman presented for routine echocardiography 6 months following percutaneous insertion of a left atrial appendage occluder (LAAO) due to atrial fibrillation with contraindications to anticoagulation. The procedure was uncomplicated, and she was clinically well. On echocardiography an abnormality was seen in the posterior pericardial space (Figure 1, arrows).

Figure 1

Transthoracic Echocardiogram: left, parasternal long axis. right, parasternal short axis …

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