title: Video-assisted thoracoscopic surgery atrial clipping for atrial fibrillation.
abstract: The majority of thrombi that arise due to atrial fibrillation occur in the left atrial appendage. Eliminating this cul-de-sac within the left atrium reduces the risk of stroke in these patients. We present a unique case of left atrial appendage occlusion performed via video-assisted thoracoscopic surgery, using an Atriclip to occlude the left atrial appendage in a patient with atrial fibrillation in whom anticoagulation was contraindicated due to a history of recurrent upper gastrointestinal bleeding.
authors.affiliation: Department of Cardiac, Thoracic & Vascular Surgery, National University Health System, Singapore dr.harish@live.com.
authors.forename: Harish
authors.initials: H
authors.lastname: Mithiran
authors.affiliation: Department of Cardiac, Thoracic & Vascular Surgery, National University Health System, Singapore.
authors.forename: Jai
authors.initials: J
authors.lastname: Sule
authors.affiliation: Department of Cardiac, Thoracic & Vascular Surgery, National University Health System, Singapore.
authors.forename: Faizus
authors.initials: F
authors.lastname: Sazzad
authors.affiliation: Yong Loo Lin School of Medicine, National University of Singapore.
authors.forename: Yilin
authors.initials: Y
authors.lastname: Ong
authors.affiliation: Yong Loo Lin School of Medicine, National University of Singapore Department of Anesthesia, National University Health System, Singapore.
authors.forename: Lian
authors.initials: L
authors.lastname: Kah Ti
authors.affiliation: Department of Cardiac, Thoracic & Vascular Surgery, National University Health System, Singapore Yong Loo Lin School of Medicine, National University of Singapore.
authors.forename: Theo
authors.initials: T
authors.lastname: Kofidis
mesh_terms: D000369:Aged, 80 and over; D000925:Anticoagulants; D020517:Atrial Appendage / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000295:instrumentation*; D000075202:Contraindications; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D004867:Equipment Design; D006801:Humans; D008297:Male; D013525:Surgical Instruments; D020775:Thoracic Surgery, Video-Assisted / Q000295:instrumentation*; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants
keywords: 80 and over; Aged; atrial appendage; atrial fibrillation; echocardiography; surgical instruments; transesophageal