Resection of left atrial appendage aneurysm and full maze procedure as curative management for stroke recurrence.
Hiroyuki ItayaChikashi AokiRyo HatanakaIkuo FukudaPublished in: General thoracic and cardiovascular surgery (2018)
Left atrial appendage aneurysm (LAAA) is a rare congenital heart anomaly that frequently becomes apparent after middle age. We report a case of LAAA in a 63-year-old woman with stroke. After stabilization of ischemic cerebral stroke, the patient underwent left atrial appendectomy with full maze procedure and tricuspid annuloplasty under cardiac arrest with cardiopulmonary bypasss. She has been living a healthy life without anticoagulants postoperatively. Resection and the full-maze procedure is an efficacious and durable procedure for LAAA with chronic atrial fibrillation.
Keyphrases
- atrial fibrillation
- left atrial appendage
- left atrial
- catheter ablation
- oral anticoagulants
- cardiac arrest
- minimally invasive
- direct oral anticoagulants
- heart failure
- mitral valve
- coronary artery
- percutaneous coronary intervention
- subarachnoid hemorrhage
- case report
- abdominal aortic aneurysm
- prognostic factors
- cerebral ischemia
- ischemia reperfusion injury
- venous thromboembolism
- computed tomography
- brain injury
- transcatheter aortic valve replacement
- ejection fraction