Early Anterior Mitral Valve Leaflet Mechanical Erosion Following Left Atrial Appendage Occluder Implantation

An 84-year-old woman was referred to our center for a left atrial appendage occlusion (LAAO) procedure. Her medical history included alcoholic cirrhosis, permanent atrial fibrillation, and recent hemorrhagic shock related to gastrointestinal bleeding under oral anticoagulation. CHA2DS2-VASc (