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It was reported a pericardial effusion occurred.A left atrial appendage (laa) closure procedure was being performed.A watchman trusteer access system (was) was selected for use.The initial transeptal puncture (tsp) was difficult to perform as there was no visualization of the septum or the sheath via transesophageal echocardiography (tee).The patient's blood pressure dropped, and a small effusion was noted.No intervention was performed and the physician elected to cancel the procedure.The patient was monitored overnight in the intensive care unit (icu).No further complications were noted.
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