Levisay Justin P, Sangodkar Sandeep, Salinger Michael H, Lampert Mark, Feldman Ted
Evanston Hospital, Cardiology Division, Walgreen Building 3rd Floor, 2650 Ridge Ave, Evanston, IL 60201 USA.
J Invasive Cardiol. 2014 Apr;26(4):180-2.
Surgical left atrial appendage (LAA) exclusion has a failure rate as high as 60% due to persistent residual flow in the LAA or large LAA remnants. We describe a novel technique for treatment of incomplete surgical LAA ligation, and define the mechanism that led to persistence of the remnant LAA without any thrombus formation.