Concomitant intra-atrial excision of the left atrial appendage during robotic-assisted minimally invasive cardiac surgery.

ABSTRACT:

Objective

Surgical closure of the left atrial appendage (LAA) in patients with atrial fibrillation undergoing cardiac surgery can decrease the risk of stroke and thromboembolism and should therefore be considered. In minimally invasive, thoracoscopic, or robotic-assisted mitral valve surgery, however, external procedures such as clip application or epicardial resection are not feasible due to anatomic limitations and the reduced size of the access port. Internal suture closing techniques bear the risk of recurrent LAA reperfusion, so far. We present a novel surgical technique of LAA excision and subsequent defect closure from the interior aspect of the atrium.

Methods

We developed this novel technique during robotic-assisted cardiac surgeries. In short, the LAA is invaginate

SUBMITTER: Ghinescu M 

PROVIDER: S-EPMC10017964 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature