[HSF] Routine closure of the left atrial appendage?

[erdinç naseri]

LAA obliteration in all cases:
1.Suture ligation from inside in L atrial surgery
2.External 0 silk suture ligation in all other cases( including OPCAB)
erdinc> Date: Wed, 18 Jul 2007 16:53:05 -0500> From: nfaabouseada at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Routine closure of the left atrial appendage?> CC: > > Dear Hal> Is the issue how to close the LAA ? or rather why would it be closed ?> I would not use any fancy equipments should I decide to obliterate, cut the> LAA, simple ligature and stitching are safer and cheaper to my mind. but> still the issue remains: It can be be done, but should it be ?? and Why ?> > NFA> > > On 7/18/07, hgrmd at aol.com <hgrmd at aol.com> wrote:> >> >> > Mark,> >> > ? I've heard this subject debated in the past.? The fact is most patients> > don't develop long term problems with AF after CABG.? Indeed, the LAA can be> > easily stapled.? However, the complication is low, but not zero.? There have> > been hemorrhagic fatalities associated with stapled closure of the LAA.? Try> > explaining that in court.?> >> > ? Atricure has a device in development that atraumatically closes the base> > of the appendage.? When it's finally released to the public, perhaps this> > will make the risk off LAA closure truly negligible.> >> >> >> > Hal> >> >> > -----Original Message-----> > From: Wertheimer MD, Mark <mwertheimer at mahealthcare.com>> > To: OpenHeart-L at lists.hsforum.com> > Sent: Wed, 18 Jul 2007 1:16 pm> > Subject: [HSF] Routine closure of the left atrial appendage?> >> >> >> >> > 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> > -----------------------------------------> >> >> > ________________________________________________________________________> > AOL now offers free email to everyone. Find out more about what's free> > from AOL at AOL.com.> > _______________________________________________> > 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> -----------------------------------------