Surgical Strategies and Devices for Surgical Exclusion of the Left Atrial Appendage: A Word of Caution

被引：9

作者：

Apostolakis, Efstratios ^{[1
]}

Papakonstantinou, Nikolaos A. ^{[1
]}

Baikoussis, Nikolaos G. ^{[2
]}

Koniari, Ioanna ^{[3
]}

Papadopoulos, George ^{[4
]}

机构：

[1] Univ Hosp Ioannina, Sch Med, Dept Cardiothorac Surg, Ioannina, Greece

[2] Inst Mutualiste Montsouris, Dept Cardiac Surg, Paris, France

[3] Univ Hosp Patras, Sch Med, Dept Cardiothorac Surg, Patras, Greece

[4] Univ Hosp Ioannina, Sch Med, Dept Anesthesiol, Ioannina, Greece

来源：

JOURNAL OF CARDIAC SURGERY | 2013年 / 28卷 / 02期

关键词：

TRANSCATHETER OCCLUSION PLAATO; STROKE PREVENTION; WORLDWIDE EXPERIENCE; WARFARIN THERAPY; FIBRILLATION; RISK; SYSTEM; APPENDECTOMY; OBLITERATION; LIGATION;

D O I：

10.1111/jocs.12055

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In patients with chronic atrial fibrillation, 90% of clots are located in the left atrial appendage (LAA). Therefore, LAA exclusion is a means of preventing thrombus formation and subsequent thromboembolic events in these patients. The LAA can be excluded from the systemic circulation via surgical, percutaneous, or thoracoscopic approaches. The surgical aim is complete obliteration of the appendage without a significant increase in either postoperative complications (bleeding, arrhythmias) or recurrence. We discuss the current surgical techniques available for LAA obliteration and review their results. doi: 10.1111/jocs.12055 (J Card Surg 2013;28:199206)

引用

页码：199 / 206

页数：8

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