M. Lynch et al., RECANALIZATION OF THE LEFT ATRIAL APPENDAGE DEMONSTRATED BY TRANSESOPHAGEAL ECHOCARDIOGRAPHY, The Annals of thoracic surgery, 63(6), 1997, pp. 1774-1775
Closure of the fibrillating left atrial appendage has been recommended
during mitral valve operations to help prevent thrombus formation and
systemic embolization postoperatively. We report recanalization of th
e appendage orifice in 6 patients after surgical closure by purse-stri
ng suturing at the time of mitral valve replacement. Transesophageal e
chocardiography demonstrated disruption of the closure line and partia
l recanalization of the sutured orifice with relatively high velocity
flow between the left atrial body and the appendage. (C) 1997 by The S
ociety of Thoracic Surgeons.