Key result
Surgical exclusion of the left atrial appendage does not necessarily terminate its biological activity, as residual cavities can undergo thrombus organization and microvascular remodeling.
This editorial commentary highlights that surgical exclusion of the left atrial appendage does not necessarily render it biologically inactive, as residual cavities can foster chronic thrombus organization, microvascular remodeling, and coronary-LAA fistula formation.
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Eiki Nagaoka (2026) conducted an editorial in Left atrial appendage exclusion and coronary-left atrial appendage fistula in atrial fibrillation. Surgical left atrial appendage exclusion was evaluated. Surgical exclusion of the left atrial appendage does not necessarily terminate its biological activity, as residual cavities can undergo thrombus organization and microvascular remodeling.
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