Left Atrial Appendage Occlusion on a Beating Heart during Minimally Invasive Valve Surgery Using an Aortic Endoclamp: A Case Report

Mathieu N Suleiman; Ann-Sophie Kaemmerer; Jörg Fechner; Ehab Nooh; Michael Weyand; Christian Heim

doi:10.3390/jcm12196325

Left Atrial Appendage Occlusion on a Beating Heart during Minimally Invasive Valve Surgery Using an Aortic Endoclamp: A Case Report

J Clin Med. 2023 Sep 30;12(19):6325. doi: 10.3390/jcm12196325.

Authors

Mathieu N Suleiman¹, Ann-Sophie Kaemmerer¹, Jörg Fechner², Ehab Nooh¹, Michael Weyand¹, Christian Heim¹

Affiliations

¹ Department of Cardiac Surgery, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, 91054 Erlangen, Germany.
² Department of Anesthesiology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, 91054 Erlangen, Germany.

Abstract

Concomitant LAA occlusion has been shown to be an effective and safe treatment for patients with atrial fibrillation during cardiac surgery to prevent embolic stroke. Minimally invasive procedures are challenging due to restricted access to and visibility of the surgical site. Also, aortic endoclamping has been developed as an alternative surgical approach to exoclamping. The aim of this article is to demonstrate the method of beating heart LAA occlusion with the Atriclip^® (AtriCure, Mason, OH, USA) device during minimally invasive mitral valve surgery while using the endoclamping alternative for aortic cross-clamping.

Keywords: AtriClip; IntraClude Device; minimally invasive surgery; mitral valve prolapse; mitral valve replacement.

Publication types

Case Reports

Grants and funding

The authors acknowledge financial support by Deutsche Forschungsgemeinschaft and Friedrich-Alexander-Universität Erlangen-Nürnberg within the funding programme “Open Access Publication Funding”.