Percutaneous Watchman FLX implantation in a patient with previous mitral valve surgery and large-sized left atrial appendage

Percutaneous left atrial appendage (LAA) occlusion in patients with history of mitral valve surgery represent a challenge for interventional cardiologists, due to large-sized LAA and to the presence of prosthetic material. Patients with previous mitral valve surgery represent a scant population among the patients treated with percutaneous LAA occlusion and there is no evidence to date to support the use of a specific device in this particular clinical setting