Complete Obliteration of the Left Atrial Appendage an Analysis of                     Epicardial Excision and Novel Pericardial Patch Exclusion

Malakouti-Nejad, Bayan; Winkler, Eliot J.; Johnson, Marjorie; Catrip, Jorge; Losenno, Katie L.; Kiaii, Bob; Chu, Michael

doi:10.1097/imi.0000000000000281

Cited by 4 publications

(1 citation statement)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2 However, some researchers have also found that surgical closure of the LAA, especially with sutures, has a potentially higher risk of thromboembolism if the LAA reopens. 3 4 Some surgeons have performed a pericardial patch exclusion (PPE) technique to close the LAA in cadavers using autologous pericardial pieces 5 . However, there is still a lack of clinical results on the use of this technique in humans, so its e cacy and safety have not been fully evaluated clinically.…”

Section: Introductionmentioning

confidence: 99%

The effect of the pericardial patching exclusion technique in Left Atrial Appendage Closure on its postoperative reopening rate

wang,

Su,

Zhong

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: The left atrial appendage (LAA) is the primary source of cardiogenic embolism in atrial fibrillation patients. Traditional LAA closure methods have shown suboptimal clinical outcomes. In recent years, some surgeons have proposed employing a pericardial slice for suturing the LAA. Methods: This study included patients with atrial fibrillation who underwent LAA closure during mitral valve surgery at our center between January 2019 and December 2021. There are two types of left atrial appendage closure surgical methods. The transesophageal echocardiogram performed 6 months after surgery will be used to verify the success of left atrial appendage closure. Left atrial appendage closure failure will be defined as reopening of the left atrial appendage or constant blood flow into the left atrial appendage. Result: Among the 104 patients included (mean age: 65.0 ± 7.58 years, male: 52.50%), a total of 7 patients were found to have reopened left atrial appendage, of which 5 patients belonged to the suture closure group and 2 patients (15.6% vs 2.8%, p=0.047) belonged to the pericardial patch exclusion group. Conclusions: The pericardial patch exclusion technique is a reliable technique to close the left atrial appendage in patients with atrial fibrillation, which can effectively reduce the possibility of reopening the left atrial appendage.

show abstract

Section: Introductionmentioning

confidence: 99%