Michael W. Cullen, MD, John M. Stulak, MD, Zhuo Li, Brian D

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Presentation transcript:

Left Atrial Appendage Patency at Cardioversion After Surgical Left Atrial Appendage Intervention Michael W. Cullen, MD, John M. Stulak, MD, Zhuo Li, Brian D. Powell, MD, Roger D. White, MD, Naser M. Ammash, MD, Vuyisile T. Nkomo, MD, MPH The Annals of Thoracic Surgery Volume 101, Issue 2, Pages 675-681 (February 2016) DOI: 10.1016/j.athoracsur.2015.07.071 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Example of systemically accessible thrombus after surgical left atrial appendage suture exclusion. (A) Round echo-dense thrombus in the left atrial appendage (circled). (B) Color Doppler flow is present between left atrial appendage and left atrium (arrow). The Annals of Thoracic Surgery 2016 101, 675-681DOI: (10.1016/j.athoracsur.2015.07.071) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Left atrial appendage (LAA) patency rates (black bars), overall thrombus rates (white bars), systemically accessible thrombus rates (light gray bars), and cardioversion cancellation rates due to thrombus (dark gray bars) by type of LAA intervention technique in 93 patients undergoing transesophageal echocardiography (TEE)-guided cardioversion after surgical LAA intervention. Overall, LAA patency rates were 37%, with patency rates highest among patients undergoing suture exclusion. The TEE detected thrombus in 28% of all patients and in 33% of patients after suture exclusion. Cardioversion was cancelled owing to thrombus in 16% of patients, suggesting that TEE before cardioversion frequently alters management in patients after recent surgical LAA intervention. The Annals of Thoracic Surgery 2016 101, 675-681DOI: (10.1016/j.athoracsur.2015.07.071) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions