Left atrial appendage occlusion by invagination and double suture technique | Zendy

Rafael HernándezEstefanía | Zendy; Beltran Levy Praschker | Zendy; Gorka Bastarrika | Zendy; Gregorio Rábago | Zendy

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Left atrial appendage occlusion by invagination and double suture technique

Author(s) -

Rafael HernándezEstefanía,

Beltran Levy Praschker,

Gorka Bastarrika,

Gregorio Rábago

Publication year - 2011

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2011.05.022

Subject(s) - thrombus , invagination , atrial fibrillation , medicine , left atrial appendage occlusion , appendage , fibrous joint , cardiology , occlusion , left atrium , mitral valve , surgery , anatomy , warfarin

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).

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