It was reported that on (b)(6) 2020 a patient underwent a minimally invasive maze procedure with left atrial appendage management (laam).When the surgeon was dissecting around the right pulmonary veins with the mid1 dissector, they perforated the left pulmonary inferior vein.According to the surgeon, the contributing factors were that the patient had a small atrium and the left pulmonary veins were set deep.The procedure was then converted to an open sternotomy.The surgeon repaired the perforation with pledgeted suture, with the maze procedure then being successfully with cryof device and an ach2 clip placed on the laa.Post-procedure, the patient remained stable.There was no reported device malfunction, and the adverse event was the result of a procedural complication.
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