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Ligation of Left Atrial Appendage during Off-Pump Coronary Surgery
| Content Provider | Scilit |
|---|---|
| Author | Enginoev, Soslan Koz'Min, Dmitry Magomedov, Gasan Makeev, Sergey Chernov, Igor Ilov, Nikolay Tarasov, Dmiry Zhigalov, Konstantin Weymann, Alexander |
| Copyright Year | 2019 |
| Description | Objective The main purpose of this article is to evaluate an impact of epicardial ligation of the left atrial appendage (LAA) in patients with atrial fibrillation (AF) undergoing off-pump coronary artery bypass grafting (OPCAB) on the development of ischemic stroke and mortality. Methods From 2009 to 2013, a total of 125 patients (86.4% men, mean age 64 ± 7 years, 95% confidence interval: 61–65 years) received a combined OPCAB and LAA ligation because of coronary artery disease and AF. All the subjects were divided into two groups: group 1 (n = 57)—LAA ligation during OPCAB, group 2 (n = 68) without LAA ligation during OPCAB. Primary endpoints were postoperative incidence of ischemic stroke and mortality. Results No difference in the number of ischemic stroke (0 vs. 5.9%) and death (0 vs. 4.4%) in both groups during the hospital period (p > 0.05). Median overall follow-up was 41 (22–61) months: without difference for groups (p > 0.05). During follow-up, there was a difference in the number of ischemic stroke (0 vs. 17.6%, p < 0.001), while there was no difference in mortality in two study groups (5.3 vs. 16.2%, p > 0.05). Conclusion Epicardial ligation of LAA during OPCAB in patients with AF may reduce the risk of ischemic stroke in long-term follow-up and does not affect the mortality. |
| Related Links | http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0039-1695758.pdf |
| Ending Page | 699 |
| Page Count | 5 |
| Starting Page | 695 |
| ISSN | 01716425 |
| e-ISSN | 14391902 |
| DOI | 10.1055/s-0039-1695758 |
| Journal | The Thoracic and Cardiovascular Surgeon |
| Issue Number | 08 |
| Volume Number | 68 |
| Language | English |
| Publisher | Georg Thieme Verlag KG |
| Publisher Date | 2019-09-10 |
| Access Restriction | Open |
| Subject Keyword | Journal: The Thoracic and Cardiovascular Surgeon Cardiology and Cardiovascular Diseases Keyword Off-pump Coronary Surgery Left Atrial Appendage Atrial Fibrillation |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine |
