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March 1, 2017Annals of Translational MedicineOpen Access

Incomplete surgical left atrial appendage closure remains a frequent and under-recognized clinical entity irrespective of the closure technique used.

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Design

Editorial

Key result

Incomplete surgical left atrial appendage closure remains a frequent and under-recognized clinical entity irrespective of the closure technique used.

Authors

AAArash AryanaRBRohit Bhaskar

Discussion

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Overview

Requires routine intraoperative verification of LAA closure; confirms incompleteness as a persistent, technique-independent issue.

Key Points

  • Review the incidence, mechanisms, and thromboembolic hazards of incomplete left atrial appendage closure during cardiac surgery for atrial fibrillation.
  • Narrative synthesis of historical and contemporary left atrial appendage exclusion techniques, including suture ligation, endoscopic stapling, and external clipping.
  • Evaluation of evidence from prospective randomized controlled trial data assessing anatomical closure success rates in patients undergoing atrial fibrillation surgery.
  • Incomplete surgical left atrial appendage closure remains a frequent, under-recognized problem across all closure techniques despite modern advancements.
  • Persistent patency or incomplete exclusion maintains a significant pathway for thrombus formation and subsequent systemic thromboembolism.

PICO

P
Population
Atrial fibrillation
I
Intervention / Comparator
Surgical left atrial appendage closure

Incomplete surgical closure of the left atrial appendage remains a significant clinical issue that may increase the risk of thromboembolism in patients with atrial fibrillation.

Cite This Study

Aryana et al. (2017) conducted an editorial in Atrial fibrillation. Surgical left atrial appendage closure was evaluated. Incomplete surgical left atrial appendage closure remains a frequent and under-recognized clinical entity irrespective of the closure technique used.

synapsesocial.com/papers/6a7b60eee357fbdac589d945https://doi.org/10.21037/atm.2017.02.17
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Advances in Left Atrial Appendage Occlusion Strategies.2013 · 2 citations
  2. 2Surgical Closure of the Left Atrial Appendage – A Beneficial Procedure?2005 · 70 citations
  3. 3Surgical management of the left atrial appendage: a must or a myth?2018 · 23 citations
  4. 4Minimally invasive, simplified double‐layer left atrial appendage closure2020 · 6 citations
  5. 5Contemporary Review of Left Atrial Appendage Occlusion in Atrial Fibrillation2026