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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2019, Number 3

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Cir Card Mex 2019; 4 (3)

Left atrial appendage resection with cut-and-sew technique

García-Villarreal OA

Language: English
References: 14
Page: 96-99
PDF size: 287.76 Kb.


ABSTRACT

Left atrial appendage (LAA) is the most common site of thrombus formation inside the heart, especially in cases of atrial fibrillation. Currently, LAA exclusion or resection is considered IIa Class of Recommendation, Level of Evidence C in patients with AF undergoing open chest surgery. There are several techniques to isolate the LAA. External resection by means of cut-and-sew from outside the heart has proven to be the safest one, in terms of less complications, such as reopening, endoleaks, or remnant stump. Here we describe step by step how to resect the LAA from outside the heart by cut-and-sew throughout any open chest cardiac surgery.


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