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Intraoperative echocardiographic contrast opacifies the left atrial appendage and assists in surgical exclusion


1 Department of Anesthesiology, SUNY Downstate Health Sciences University, 450 Clarkson Avenue, Box 6, Brooklyn, NY, USA
2 Department of Surgery, Staten Island University Hospital, 475 Seaview Ave, Staten Island, NY, USA
3 Department of Anesthesiology, Staten Island University Hospital, 475 Seaview Ave, Staten Island, NY, USA

Correspondence Address:
Jeans M Santana
Department of Anesthesiology, SUNY Downstate Health Sciences University, 450 Clarkson Avenue, Box 6, Brooklyn, NY 11203
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_192_20

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Year : 2022  |  Volume : 25  |  Issue : 1  |  Page : 77-80

 

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Surgical exclusion of the left atrial appendage (LAA) for stroke prevention in atrial fibrillation is frequently incomplete and remains to be optimized. We present a man who did not tolerate anticoagulant and failed percutaneous occlusion. Intraoperative echocardiographic contrast was used to assist surgical exclusion. Follow-up showed a persistent occlusion.






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1 Department of Anesthesiology, SUNY Downstate Health Sciences University, 450 Clarkson Avenue, Box 6, Brooklyn, NY, USA
2 Department of Surgery, Staten Island University Hospital, 475 Seaview Ave, Staten Island, NY, USA
3 Department of Anesthesiology, Staten Island University Hospital, 475 Seaview Ave, Staten Island, NY, USA

Correspondence Address:
Jeans M Santana
Department of Anesthesiology, SUNY Downstate Health Sciences University, 450 Clarkson Avenue, Box 6, Brooklyn, NY 11203
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_192_20

Rights and Permissions

Surgical exclusion of the left atrial appendage (LAA) for stroke prevention in atrial fibrillation is frequently incomplete and remains to be optimized. We present a man who did not tolerate anticoagulant and failed percutaneous occlusion. Intraoperative echocardiographic contrast was used to assist surgical exclusion. Follow-up showed a persistent occlusion.






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