Recanalization of the Left Atrial Appendage Demonstrated by Transesophageal Echocardiography

Closure of the fibrillating left atrial appendage has been recommended during mitral valve operations to help prevent thrombus formation and systemic embolization postoperatively. We report recanalization of the appendage orifice in 6 patients after surgical closure by pursestring suturing at the ti...

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Bibliographic Details
Published inThe Annals of thoracic surgery Vol. 63; no. 6; pp. 1774 - 1775
Main Authors Lynch, Mary, Shanewise, Jack S, Chang, George L, Martin, Randolph P, Clements, Stephen D
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.06.1997
Elsevier Science
Subjects
Biological and medical sciences
Cardiology. Vascular system
Diagnosis, Differential
echocardiography
Echocardiography, Transesophageal
Endocardial and cardiac valvular diseases
Female
Heart
Heart Atria - diagnostic imaging
Heart Diseases - prevention & control
Heart Valve Prosthesis
Humans
left atrial appendage
Male
Medical sciences
Middle Aged
Mitral Valve - diagnostic imaging
Mitral Valve - surgery
Mitral Valve Insufficiency - diagnostic imaging
Mitral Valve Insufficiency - etiology
Mitral Valve Insufficiency - surgery
Prosthesis Failure
Reoperation
surgical ligation
Suture Techniques - adverse effects
Thrombosis - prevention & control
surgical ligation
echocardiography
left atrial appendage
Sonography
Human
Associated technique
Mitral valve
Echocardiography
Preauricular appendage
Cardiovascular disease
Exploration
Replacement
Left atrium
Esophagus
Case study
Treatment
Ligature
Cardiac valvular disease
Surgery
Mitral valve disease
Ultrasonic transducer
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Summary:Closure of the fibrillating left atrial appendage has been recommended during mitral valve operations to help prevent thrombus formation and systemic embolization postoperatively. We report recanalization of the appendage orifice in 6 patients after surgical closure by pursestring suturing at the time of mitral valve replacement. Transesophageal echocardiography demonstrated disruption of the closure line and partial recanalization of the sutured orifice with relatively high velocity flow between the left atrial body and the appendage. (Ann Thorac Surg 1997;63:1774–5)
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0003-4975
1552-6259
DOI:10.1016/S0003-4975(97)83862-3