Left Atrial Appendage Amputation for Atrial Fibrillation during Aortic Valve Replacement.
Jurij Matija KalisnikGiuseppe SantarpinoAndrea I BalbiererJanez ZibertFerdinand A VogtMatthias FittkauTheodor FischleinPublished in: Journal of clinical medicine (2022)
A combination of leading aortic stenosis and AF in patients undergoing isolated or combined biological AVR represents a subpopulation with excessive thromboembolic risk. Concomitant LAA amputation during cardiac surgery reduces the risk of ischemic stroke without posing an additional periprocedural risk for the patient. Therefore, the minimal invasive approach at the expense of omitting LAA amputation should be discouraged to maximize the clinical benefits of AVR in this setting.
Keyphrases
- atrial fibrillation
- aortic valve replacement
- aortic stenosis
- left atrial appendage
- catheter ablation
- transcatheter aortic valve implantation
- aortic valve
- ejection fraction
- transcatheter aortic valve replacement
- lower limb
- direct oral anticoagulants
- cardiac surgery
- left atrial
- oral anticoagulants
- left ventricular
- patients undergoing
- percutaneous coronary intervention
- peripheral artery disease
- coronary artery disease
- heart failure
- acute kidney injury
- physical activity
- acute coronary syndrome
- case report
- weight loss
- mitral valve