Hernandez PM, Divakaran S, Adler DS, Storms DR, Kaneko T, Mohanty BD. Isolated surgical left atrial appendage closure: Revisiting utility and indications in a burgeoning era of percutaneous therapy.
J Card Surg 2020;
35:1360-1363. [PMID:
32333424 DOI:
10.1111/jocs.14570]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Revised: 02/07/2020] [Accepted: 04/07/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND AND AIM
Oral anticoagulation (AC) and percutaneous left atrial appendage (LAA) occlusion are the primary treatment modalities for stroke prevention in atrial fibrillation (AF), but there remains a subset of patients in whom these approaches present excess risk and isolated surgical LAA excision should be considered. We describe a 63-year-old female with AF and recurrent thromboembolic events who presented with an acute intraparenchymal hemorrhage and was found to have an intracardiac thrombus.
METHODS
Given contraindications to AC and LAA occlusion, an isolated LAA surgical excision was pursued.
RESULTS
She underwent successful surgical LAA excision and has since remained event-free.
CONCLUSION
It is important to recall the utility of therapies that have been previously used with success for intracardiac thrombi and still remain as viable options.
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