Endovascular repositioning of dislodged left atrial appendage occlusion device

We present the case of a 76-year-old man with a past medical history significant for atrial fibrillation on anticoagulation, CVA, and GI bleed requiring cautery and transfusion who underwent successful placement of a Watchman left atrial appendage occlusion device. He was asymptomatic at his 45-day follow up but on routine TEE imaging it was revealed that his device had partially dislodged into the left atrium. During attempted transcatheter retrieval, the device was ultimately repositioned and left in place and has been stable on follow-up imaging. To our knowledge, this is the first case of a LAAO device that was dislodged and repositioned rather than retrieved and removed via a percutaneous or surgical approach.