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This video demonstrates a totally thoracoscopic procedure for left atrial appendage closure in a patient with a contraindication to percutaneous left atrial appendage closure. The procedure highlights the videoscopic approach, procedural details, and postoperative echocardiographic control.
Suggested Reading
- Caliskan E, Sahin A, Yilmaz M, et al. Epicardial left atrial appendage AtriClip occlusion reduces the incidence of stroke in patients with atrial fibrillation undergoing cardiac surgery. Europace. 2018;20(7):e105-e114.
- Emmert MY, Puippe G, Baumüller S, et al. Safe, effective and durable epicardial left atrial appendage clip occlusion in patients with atrial fibrillation undergoing cardiac surgery: first long-term results from a prospective device trial. Eur J Cardiothorac Surg. 2014;45(1):126-131.
1688 views on VimeoCITATION
Salzberg S, van Boven WJ. Thoracoscopic Left Atrial Appendage Closure With an AtriClip. March 2019. doi:10.25373/ctsnet.7863398.
2 Comments
Thank you for the nice procedure and demonstration. I am wondering weather it is necessary to close the pericardium with interrupted sutures when it is opened through the left side to prevent from cardiac hernia?
Good Question.
We close the pericardium on the right side when we do a tt ablation.
On the left it is not necessary.