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J Thorac Cardiovasc Surg 2005;129:679-680
© 2005 The American Association for Thoracic Surgery

Brief Communications

Stapled excision of the left atrial appendage

Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio

Received for publication July 9, 2004; revisions received July 13, 2004; accepted for publication July 21, 2004.

^* Address for reprints: A. Marc Gillinov, MD, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195 (E-mail: gillinom@ccf.org).

The first 20% of the full text of this article appears below.

The left atrial appendage (LAA) has been termed "our most lethal human attachment."¹ Excision or exclusion of the LAA is a component of most operations to treat atrial fibrillation (AF) and reduces late thromboemboli in patients with AF undergoing mitral valve surgery.² However, surgical technique affects results, and incomplete suture ligation increases risk of thromboembolism.^2,3 We report our experience with stapled excision and pericardial buttressing of the LAA.

	Methods

 
From January 2002 through December 2004, several suture and stapling techniques were used to excise the LAA in more than 500 patients. Incomplete ligation and recanalization with suture techniques and bleeding with unbuttressed staplers led us to the procedure described here.

Before manipulation of . . . [Full Text of this Article]

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