1. The left atrial appendage amputation during off-pump coronary artery bypass grafting prevents stroke
- Author
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Dohi S, Tohru Asai, Yokoyama Y, Endo D, Kan Kajimoto, Atsushi Amano, Yamamoto T, Shimada A, Matsushita S, and Oishi A
- Subjects
Appendage ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Grafting (decision trees) ,medicine.disease ,Amputation ,Left atrial ,Internal medicine ,medicine ,Cardiology ,business ,Stroke ,Off-pump coronary artery bypass - Abstract
Background: Postoperative atrial fibrillation (POAF) occurs in 20% to 50% of patients soon after cardiac surgery, and is associated with subsequent newly developed AF. Left atrial appendage closure is effective in preventing stroke among patients with nonvalvular AF. However, the prophylactic effect of left atrial appendage amputation (LAAA) in stroke prevention among patients with sinus rhythm has not been proven. Methods: We analyzed 977 consecutive patients undergoing off-pump coronary artery bypass grafting (OPCAB) with sinus rhythm, with or without concomitant LAAA, from 2011 to 2017 at our institution in a retrospective observational manner. A total of 550 patients (56.3%) underwent concomitant LAAA, any effect thereof in preventing early (
- Published
- 2021
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