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Eur J Cardiothorac Surg · Jan 2012
Left atrial appendage occlusion by invagination and double suture technique.
- Rafael Hernandez-Estefania, Beltran Levy Praschker, Gorka Bastarrika, and Gregorio Rabago.
- Servicio de Cirugía Cardiovascular, Clínica Universidad de Navarra, Avda. Pío XII, 36, 31008 Pamplona, Spain. rhestefania@unav.es
- Eur J Cardiothorac Surg. 2012 Jan 1;41(1):134-6.
AbstractLeft 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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