Is the left atrial appendage more than a simple appendage?

Hidehiko Hara, Renu Virmani, David Holmes, Maurice Buchbinder, John R. Lesser, Robert A. van Tassel, Michael R. Mooney, Robert S. Schwartz

Research output: Contribution to journalArticle

37 Scopus citations

Abstract

The left atrial appendage (LAA) is a cardiac structure with unique anatomic and functional features. It is significantly more than a simple chamber appended to the left atrium (LA), differing from the LA in structure, function, and hormonal activity. Unfortunately, it is the source of more than 90% of cardiac-based emboli, particularly in atrial fibrillation, mandating lifelong anticoagulation. Percutaneous LAA exclusion was developed to limit or eliminate cardioembolic events in patients with atrial fibrillation. Benign healing of the appendage occurs without adverse hemodynamic effects, and with no residual surface thrombus or tissue damage. The feasibility of this treatment is now established, suggesting that percutaneous therapy is safe, practical and possibly effective to eliminate the need for anticoagulation and significantly reduce cardioembolic events.

Original languageEnglish (US)
Pages (from-to)234-242
Number of pages9
JournalCatheterization and Cardiovascular Interventions
Volume74
Issue number2
DOIs
StatePublished - Aug 1 2009

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Keywords

  • Atrial fibrillation
  • Left atrial appendage
  • Transcatheter occlusion

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Hara, H., Virmani, R., Holmes, D., Buchbinder, M., Lesser, J. R., van Tassel, R. A., Mooney, M. R., & Schwartz, R. S. (2009). Is the left atrial appendage more than a simple appendage? Catheterization and Cardiovascular Interventions, 74(2), 234-242. https://doi.org/10.1002/ccd.21983