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Reported via clinical study.It was reported that a stroke occurred.A left atrial appendage closure (laac) procedure was performed.A 24mm watchman flx laa closure was implanted on (b)(6) 2022.On (b)(6) 2026, the patient presented acutely confused.The physician initially considered the symptoms related to a recent extubation, medical comorbidities and likely sundowning.The symptoms continued the next day, so computed tomography (ct) imaging of the patient head was ordered.The ct showed concerns for right posterior cerebral artery (pca) infarct.The patient was experiencing hallucinations, which worsened in the evening hours.The national institutes of health (nih) stroke score was 4.The patient was not given tenecteplase (tnk) but was on bival.There was suspicion of embolic etiology due to impella placement.Computed tomography angiography (cta) of the head and neck was negative on (b)(6) 2026.By (b)(6) 2026, the patient symptoms improved and no additional stroke work up was completed.
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