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Ann Thorac Surg. 2016 May;101(5):e177-8. doi: 10.1016/j.athoracsur.2015.11.028.

Application of an Epicardial Left Atrial Appendage Occlusion Device by a Robotic-Assisted, Right Chest Approach.

Author information

1
Division of Cardiac Surgery, Princeton Baptist Medical Center, Birmingham, Alabama. Electronic address: clifton.lewis@bhsala.com.
2
Division of Cardiac Surgery, Princeton Baptist Medical Center, Birmingham, Alabama.
3
Division of Cardiovascular Perfusion, UAB Hospitals, Birmingham, Alabama.

Abstract

Closure of the left atrial appendage (LAA) has become a standard part of any mitral valve operation because it is thought to reduce the potential for late thrombus development and for embolic events. To date, surgeons performing robotic mitral valve operations have been limited to an endocardial approach to LAA closure. However, oversewing the orifice of the LAA is time consuming and lengthens the cross-clamp time, and failures to obtain permanent closure have been reported. We describe our technique for an epicardial approach that is safe and efficient and that gives a secure closure of the LAA.

[Indexed for MEDLINE]

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