Left atrial appendage occlusion by invagination and double suture technique

Left atrial appendage (LAA) plays a crucial role as a source of atrial thrombus in patients with atrial fibrillation (AF). Thus, the need to close LAA becomes evident in patients with AF who undergo concomitant mitral valve surgery. Unfortunately, it has been reported a high rate of unsuccessful LAA...

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Detalles Bibliográficos
Autores: Hernandez-Estefania, R. (Rafael)|||/items/47179ced-f765-46cd-9ec2-7b72f0ff9ca9, Levy-Praschker, B.G. (Beltran G.)|||/items/f85ffc30-6549-42ae-9f2d-f8d4bef15642, Bastarrika-Alemañ, G. (Gorka)|||/items/70f0d5d9-0b96-4349-8554-ab3ba7158250, Rabago, G. (Gregorio)|||/items/80ea8921-99e9-46db-b2f0-5bf236e53534
Tipo de recurso: artículo
Fecha de publicación:2012
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/36301
Acceso en línea:https://hdl.handle.net/10171/36301
Access Level:acceso abierto
Palabra clave:Left atrial appendage
Suture closure
Atrial fibrillation
Descripción
Sumario:Left atrial appendage (LAA) plays a crucial role as a source of atrial thrombus in patients with atrial fibrillation (AF). Thus, the need to close LAA becomes evident in patients with AF who undergo concomitant mitral valve surgery. Unfortunately, it has been reported a high rate of unsuccessful LAA occlusion, regardless of the technique employed.We propose a safe and simple method for LAA occlusion consisting in invagination of the appendage into the left atrium, followed by two sutures (purse string suture around the base of the LAA and a reinforce running suture).