Standalone Totally Thoracoscopic Left Appendage Clipping: Safe, Simple, Standardized.


Journal

The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R

Informations de publication

Date de publication:
01 2021
Historique:
received: 24 04 2020
accepted: 28 04 2020
pubmed: 23 6 2020
medline: 12 2 2021
entrez: 23 6 2020
Statut: ppublish

Résumé

Totally thoracoscopic standalone left atrial appendage exclusion has become a valid treatment option for stroke prevention in patients with a contraindication to anticoagulants. As with most other video-assisted surgeries, this procedure requires appropriate patient and port positioning to obtain the most advantageous working angles and standard thoracoscopic skills. Furthermore it is mandatory to have a closure device specifically designed for the appendage to guarantee efficacy and safety and to optimize surgical placement that allows the best clinical outcomes. Here we describe the surgical technique of a unilateral left-sided thoracoscopic approach for surgical exclusion of the appendage on the beating heart.

Identifiants

pubmed: 32569667
pii: S0003-4975(20)30948-6
doi: 10.1016/j.athoracsur.2020.04.130
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e61-e63

Informations de copyright

Copyright © 2021 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

Stefano Branzoli (S)

Cardiac Surgery Unit, Santa Chira Hospital, Trento, Italy. Electronic address: stefano.branzoli@apss.tn.it.

Massimiliano Marini (M)

Department of Cardiology, Santa Chiara Hospital, Trento, Italy.

Fabrizio Guarracini (F)

Department of Cardiology, Santa Chiara Hospital, Trento, Italy.

Carlo Pederzolli (C)

Cardiac Surgery Unit, Santa Chira Hospital, Trento, Italy.

Giovanni D'Onghia (G)

Department of Cardiology, Santa Chiara Hospital, Trento, Italy.

Maurizio Centonze (M)

Department of Radiology, Santa Lorenzo Hospital, Borgo Valsugana, Italy.

Claudio Pomarolli (C)

Department of Anesthesia, Santa Chiara Hospital, Trento, Italy.

Angelo Graffigna (A)

Cardiac Surgery Unit, Santa Chira Hospital, Trento, Italy.

Mark La Meir (M)

Department of Cardiac Surgery, UZ Brussel, Brussels, Belgium.

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Classifications MeSH