Atrial fibrillation (AF) is the common heart rhythm abnormality, with about 12.1 million US cases and 1.2 million new cases predicted by 2030[1](#ref-0001). AF doubles mortality and raises stroke risk by 2.4 time[2](#ref-0002). Guidelines recommend oral anticoagulation for non-valvular AF with intermediate or higher thromboembolic risk. If OAC is contraindicated, percutaneous left atrial appendage closure (LAAC) is considered. Surgical occlusion is done if patients are already undergoing cardiac surgery, though outcomes vary.[3](#ref-0003) . We present two high-stroke-risk AF patients who underwent surgical LAAC but had incomplete closure, resulting in cerebral ischemic events. Subsequently, they underwent successful percutaneous LAAC device closure with complete occlusion.