التفاصيل البيبلوغرافية
| العنوان: |
Isolated surgical left atrial appendage closure: Revisiting utility and indications in a burgeoning era of percutaneous therapy. |
| المؤلفون: |
Hernandez, Paula M.1 (AUTHOR) paulah@usf.edu, Divakaran, Sanjay2 (AUTHOR), Adler, Dale S.2 (AUTHOR), Storms, Daniel R.3 (AUTHOR), Kaneko, Tsuyoshi4 (AUTHOR), Mohanty, Bibhu D.5 (AUTHOR) |
| المصدر: |
Journal of Cardiac Surgery. Jun2020, Vol. 35 Issue 6, p1360-1363. 4p. 1 Color Photograph, 1 Diagram. |
| مصطلحات موضوعية: |
*SURGICAL excision, *ATRIAL fibrillation, *SURGICAL indications |
| مستخلص: |
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. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
Academic Search Index |
