Key result
Surgical clip closure of the left atrial appendage offers a minimally invasive treatment option for managing the LAA during atrial fibrillation surgery.
Why the study?
The left atrial appendage plays an important role in thrombus formation in atrial fibrillation, but its ideal management remains a topic of debate.
This review highlights the morphologic, electrophysiologic, and surgical aspects of the LAA and illustrates the importance of surgical clip closure of the LAA in AF surgery.
LAA management in AF remains debated; review leaves open optimal role of epicardial and hybrid ablation.
Atrial fibrillation (AF) is the most common atrial arrhythmia, but it is not a benign disease. AF is an important risk factor for thromboembolic events, causing significant morbidity and mortality. The left atrial appendage (LAA) plays an important role in thrombus formation, but the ideal management of the LAA remains a topic of debate. The increasing popularity of surgical epicardial ablation and hybrid endoepicardial ablation approaches, especially in patients with a more advanced diseased substrate, has increased interest in epicardial LAA management. Minimally invasive treatment options for the LAA offer a unique opportunity to close the LAA with a clip device. This review highlights morphologic, electrophysiologic, and surgical aspects of the LAA with regard to AF surgery, and aims to illustrate the importance of surgical clip closure of the LAA.
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Rosati et al. (2021) conducted a review in Atrial fibrillation. Surgical clip closure of the left atrial appendage was evaluated. Surgical clip closure of the left atrial appendage offers a minimally invasive treatment option for managing the LAA during atrial fibrillation surgery.
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