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May 22, 2020Journal of Cardiac Surgery

Minimally invasive, simplified double‐layer left atrial appendage closure

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Key result

A novel minimally invasive double-layer left atrial appendage closure during mitral valve surgery resulted in three patients remaining completely free from stroke at 27 months.

Why the study?

Incomplete LAA closure significantly increases stroke risk, prompting the need for a simple, reproducible, and complete closure method during minimally invasive cardiac surgery.

Does a minimally invasive double-layer LAA closure during mitral valve surgery prevent stroke and neurological manifestations?

Comparison

Minimally invasive, simplified double-layer LAA closure

Design

Case series

Follow-up

27 months

Authors

AAAhmed AlnajarUniversity of Miami Health SystemCACorinne AberleSaint Luke's Health SystemJLJoseph LamelasInterventional / Structural Cardiology

Discussion

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Member takes

Implication

Incomplete LAA closure may raise post-surgical stroke risk; leaves open optimal technique and timing in prospective trials.

Study Design

Type

Case Report (n=3)

Structured PICO

Does a minimally invasive double-layer LAA closure during mitral valve surgery prevent stroke and neurological manifestations?

P
Population
3 patients undergoing mitral valve surgery who received a novel minimally invasive double-layer left atrial appendage closure, followed for 27 months.
I
Intervention
Minimally invasive, simplified double-layer left atrial appendage (LAA) closure
O
Outcome
Freedom from stroke and minor neurological manifestationshard clinical

A novel minimally invasive double-layer LAA closure technique during mitral valve surgery showed early safety and efficacy in preventing stroke in a small initial case series.

Cite This Study

Alnajar et al. (2020) conducted a case report in Atrial fibrillation (n=3). Minimally invasive, simplified double-layer left atrial appendage closure was evaluated on Stroke and minor neurological manifestations. A novel minimally invasive double-layer left atrial appendage closure during mitral valve surgery resulted in three patients remaining completely free from stroke at 27 months.

synapsesocial.com/papers/6a9a6ffb6cf138e929deb03ahttps://doi.org/10.1111/jocs.14563

Topics

Left atrial appendage closureAtrial fibrillationPersistent AF managementAnticoagulation in AFAF ablation outcomes
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Role of left atrial appendageobliteration in stroke reductionin patients with mitral valve prosthesis2003 · 333 citations
  2. 2Surgical left atrial appendage ligation is frequently incomplete: a transesophageal echocardiographic study2000 · 398 citations
  3. 3Cannulation Strategies for Minimally Invasive Cardiac Surgery2020 · 44 citations
  4. 4Adding left atrial appendage closure to open heart surgery provides protection from ischemic brain injury six years after surgery independently of atrial fibrillation history: the LAACS randomized study2018 · 53 citations