The use of left atrial appendage occlusion (LAAO) devices have gained prominence as an alternative to long‐term anticoagulation therapy in patients with atrial fibrillation at risk of stroke and high risk of bleeding. While these devices have shown efficacy in reducing stroke risk, there have been reported cases of embolization of the Watchman device. There are very few cases of successful percutaneous retrieval of embolized Watchman devices from the left ventricle (LV), as many of these cases require open heart surgery for safe removal. We are presenting a case of an 80‐year‐old male whose Watchman device embolized to the LV and was entrapped on the LV papillary muscle that was then successfully retrieved via percutaneous methods, which shows the percutaneous options remain a viable strategy to retrieve LAAO devices from the LV.

中文翻译：

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经皮取出左心室乳头肌上的栓塞 Watchman 装置

对于有中风风险和高出血风险的房颤患者，左心耳封堵（LAAO）装置作为长期抗凝治疗的替代方案已受到重视。虽然这些装置已显示出降低中风风险的功效，但也有报道称 Watchman 装置发生栓塞。成功经皮从左心室 (LV) 取出栓塞的 Watchman 装置的病例很少，因为其中许多病例需要进行心脏直视手术才能安全取出。我们介绍了一名 80 岁男性的病例，其 Watchman 装置栓塞至左心室并卡在左心室乳头肌上，然后通过经皮方法成功取回，这表明经皮选择仍然是取回 LAAO 装置的可行策略来自LV。