Document Detail

Left atrial appendage occlusion by invagination and double suture technique.
MedLine Citation:
PMID:  21684756     Owner:  NLM     Status:  MEDLINE    
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).
Rafael Hernandez-Estefania; Beltran Levy Praschker; Gorka Bastarrika; Gregorio Rabago
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  41     ISSN:  1873-734X     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-03-01     Completed Date:  2012-05-01     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  134-6     Citation Subset:  IM    
Servicio de Cirugía Cardiovascular, Clínica Universidad de Navarra, Avda. Pío XII, 36, 31008 Pamplona, Spain.
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MeSH Terms
Atrial Appendage / radiography,  surgery*,  ultrasonography
Atrial Fibrillation / surgery*
Echocardiography, Transesophageal
Heart Valve Prosthesis Implantation
Mitral Valve / surgery
Suture Techniques*
Tomography, X-Ray Computed
Comment In:
Eur J Cardiothorac Surg. 2012 Jan;41(1):136-7   [PMID:  22219498 ]

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