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Case Reports
. 2020 Aug 17;6(11):845-846.
doi: 10.1016/j.hrcr.2020.08.008. eCollection 2020 Nov.

Clip the appendage, contain the clot: A small case series

Jelle A Fleerakkers  1 , Frederik N Hofman  1 , Lucas V A Boersma  2 , Bart P van Putte  1   3
Affiliations
Case Reports

Clip the appendage, contain the clot: A small case series

Jelle A Fleerakkers et al. HeartRhythm Case Rep. .
No abstract available

Keywords: Anticoagulation; Atrial appendage; Atrial fibrillation; Epicardial clip; Stroke.

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Figures

Figure 1
Figure 1
Preoperative transesophageal echocardiography image of the clot-containing left appendage (patient 1). The arrow indicates the clot. LA = left atrium; LAA = left atrial appendage; LV = left ventricle; MV = mitral valve.
Figure 2
Figure 2
Intraoperative view of patient 3. Owing to adhesions and to minimize manipulation, a tunnel was created around the base and the appendage was not released in its entirety. The 2 asterisks indicate the tunnel dissected at the left atrial appendage (LAA) base at the anterior and posterior side for positioning of the 2 jaws of the clip. LIMA-graft = left internal mammary graft; LV = left ventricle; LSPV = left superior pulmonary vein; PA = pulmonary artery; SVG = saphenous vein graft.
See this image and copyright information in PMC

References

    1. Kirchhof P., Benussi S., Kotecha D. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Europace. 2016;18:1609–1678. - PubMed
    1. Reddy V, Doshi SK, Kar S, et al. 5-Year outcomes after left-atrial appendage closure: From the PREVAIL and PROTECT-AF Trials. J Am Coll Cardiol 2017;19;70:2964–2975. - PubMed
    1. Van Laar C., Verberkmoes N.J., van Es H.W. Thoracoscopic left atrial appendage clipping: A multicenter cohort analysis. JACC Clin Electrophysiol. 2018;4:893–901. - PubMed

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