[Simultaneous percutaneous closure of patent foramen ovale and left atrial appendage].

We report the case of a 59-year-old male smoker with hypertension and dyslipidemia who, in 2007, was diagnosed with atrial fibrillation and patent foramen ovale (PFO) after suffering a cerebral ischemic attack in the region of the middle cerebral artery. The high risk of a further cerebral ischemic attack (score of 3 on the CHADS 2) was an indication for long-term oral anticoagulation. However, as it was difficult to achieve adequate levels of anticoagulation and to avoid further anticoagulation therapy, percutaneous closure of the left atrial appendage (LAA) using an Amplatzer cardiac plug (ACP) and of the PFO using an Amplatzer septal occluder (ASO) was proposed. The patient agreed to this approach.