2026 AF Symposium Challenging Cases in AF Management and Stroke Prevention
This is one of my personal favorite sessions, though it’s also one of the least attended (probably because people are leaving early to catch a plane home on the last day of the Symposium).
In this Saturday afternoon session, doctors talk about their most difficult and challenging cases with honesty and humility. Presentations were 5 minutes long followed by 5-minute discussions.
91-year-old Tennis Player with Huge Left Atrial Appendage Opening

Rodney Horton, MD
Dr. Rodney Horton presented the challenging case of a 91-year-old man with persistent A-Fib who lead a very active life. He played tennis dally. (The patient wanted to get off of anticoagulants because of his energetic lifestyle and because he didn’t like being dependent on anticoagulants.
The Problem: The opening (ostium) of his Left Atrial Appendage (LAA) was immense. Dr. Horton described it as “huge and pretty scary looking.” No existing LAA closure device was big enough to close off his ostium. Read about Dr. Horton’s creative, innovation solution to restore this man’s active lifestyle->






