[HSF] Routine closure of the left atrial appendage?

[erdinç naseri]

Prasanna,
this is not the case for our patients: >70Y/O CABG eventhough on preop METoprolol , a quiet high chance of developing AF postop.erdinc> Date: Wed, 18 Jul 2007 23:03:28 +0530> From: prasannasimha at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Routine closure of the left atrial appendage?> CC: > > I Ligate the LA appendage of all mitrals. The incidence of Afib post > cardiac surgery in India is very low (we see probably 1-3 cases in a > year post CABG) and is similar in other centers so we do not do it.I am > not really sure of the reason. External ligation is easy and cheap > instead of all those fancy devices and we have been doing it for years > when we were doing CMV's regularly.> Prasanna> Wertheimer MD, Mark wrote:> > Given the substantial incidence of atrial fibrillation following cardiac> > surgery, and the frequent need to place many of these patients on> > Coumadin anticoagulation to reduce the risks of embolic stroke, has> > anyone gone to routinely closing off the left atrial appendage with all> > cardiac surgeries? It can be easily done with the use of the noncutting> > endo- stapling device.> >> > _______________________________________________> > OpenHeart-L mailing list> >> > Send postings to:> > OpenHeart-L at lists.hsforum.com> >> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> > http://mmp.cjp.com/mailman/listinfo/openheart-l> >> > All messages transmitted by the OpenHeart-L are subject to the policies and > > disclaimers posted at:> > http://www.hsforum.com/listdisclaim> > -----------------------------------------> >> >> > > > _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------