Robotic-assisted left atrial ligation for stroke reduction in chronic atrial fibrillation: a case report.
Patients with atrial fibrillation are at significant risk for sustaining a thromboembolic stroke. More than 90% of thromboemboli form in the left atrial appendage. Ligation of the left atrial appendage to reduce the risk of stroke is often performed in connection with other cardiac surgical procedures. As a stand-alone procedure, however, left atrial ligation has generally been deemed too invasive and has gained little support as an alternative therapeutic option. We report a case of port-access robotic-assisted left atrial ligation as a stand-alone procedure in a patient with chronic atrial fibrillation in whom anticoagulation was a contraindication. To our knowledge, this is the first reported case of stand-alone robotic-assisted left atrial ligation in the literature.
Kiaii
Bob
B
London Health Sciences Centre, London, Ontario, Canada. bob.kiaii@lhsc.on.ca
McClure
R Scott
RS
Skanes
Alan C
AC
Ross
Ian G
IG
Spouge
Alison R
AR
Swinamer
Stuart
S
Rayman
Reiza
R
Bainbridge
Daniel T
DT
Iglesias
Ivan
I
Novick
Richard J
RJ
D000368:Aged; D000925:Anticoagulants; D001281:Atrial Fibrillation / Q000150:complications*; D006348:Cardiac Surgical Procedures / Q000295:instrumentation*; D002908:Chronic Disease; D000075202:Contraindications; D006325:Heart Atria / Q000601:surgery; D006331:Heart Diseases / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D012371:Robotics; D020521:Stroke / Q000209:etiology / Q000517:prevention & control*; D013927:Thrombosis / Q000209:etiology / Q000601:surgery
D000925:Anticoagulants