Video-assisted thoracoscopic surgery atrial clipping for atrial fibrillation

The majority of thrombi that arise due to atrial fibrillation occur in the left atrial appendage. Eliminating this cul-de-sac within the left atrium reduces the risk of stroke in these patients. We present a unique case of left atrial appendage occlusion performed via video-assisted thoracoscopic su...

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Veröffentlicht in:	Asian cardiovascular & thoracic annals 2016-05, Vol.24 (4), p.372-374
Hauptverfasser:	Mithiran, Harish, Sule, Jai, Sazzad, Faizus, Ong, Yilin, Kah Ti, Lian, Kofidis, Theo
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged, 80 and over Anticoagulants Atrial Appendage - diagnostic imaging Atrial Appendage - physiopathology Atrial Appendage - surgery Atrial Fibrillation - diagnosis Atrial Fibrillation - physiopathology Atrial Fibrillation - surgery Cardiac Surgical Procedures - instrumentation Contraindications Echocardiography, Doppler, Color Echocardiography, Transesophageal Equipment Design Humans Male Surgical Instruments Thoracic Surgery, Video-Assisted - instrumentation Treatment Outcome
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Beschreibung
Zusammenfassung:	The majority of thrombi that arise due to atrial fibrillation occur in the left atrial appendage. Eliminating this cul-de-sac within the left atrium reduces the risk of stroke in these patients. We present a unique case of left atrial appendage occlusion performed via video-assisted thoracoscopic surgery, using an Atriclip to occlude the left atrial appendage in a patient with atrial fibrillation in whom anticoagulation was contraindicated due to a history of recurrent upper gastrointestinal bleeding.
ISSN:	0218-4923 1816-5370
DOI:	10.1177/0218492314563086