Key result
Robotic-assisted left atrial ligation as a stand-alone procedure was successfully performed without complications in a 72-year-old man with chronic atrial fibrillation.
Case Report (n=1)
No
This case report provides the first evidence that stand-alone robotic-assisted left atrial appendage ligation is feasible for patients with chronic atrial fibrillation who cannot tolerate anticoagulation.
Feasible as stand-alone robotic LAA ligation in one chronic AF case; hypothesis-generating and requires prospective validation before any clinical role.
Patients with atrial fibrillation are at significant risk for sustaining a thromboembolic stroke. More than 90% of thromboemboli form in the left atrial appendage. Ligation of the left atrial appendage to reduce the risk of stroke is often performed in connection with other cardiac surgical procedures. As a stand-alone procedure, however, left atrial ligation has generally been deemed too invasive and has gained little support as an alternative therapeutic option. We report a case of port-access robotic-assisted left atrial ligation as a stand-alone procedure in a patient with chronic atrial fibrillation in whom anticoagulation was a contraindication. To our knowledge, this is the first reported case of stand-alone robotic-assisted left atrial ligation in the literature.
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Kiaii et al. (2005) conducted a case report in Chronic atrial fibrillation (n=1). Port-access robotic-assisted left atrial ligation was evaluated on Successful ligation of the left atrial appendage with no evidence of blood flow. Robotic-assisted left atrial ligation as a stand-alone procedure was successfully performed without complications in a 72-year-old man with chronic atrial fibrillation.
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