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Related Concept Videos

Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...

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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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Occluding the left atrial appendage: anatomical considerations.

P Su1, K P McCarthy, S Y Ho

  • 1National Heart and Lung Institute, Imperial College, Guy Scadding Building, Dovehouse Street, London SW3 6LY, UK.

Heart (British Cardiac Society)
|May 10, 2007
PubMed
Summary

Left atrial appendage (LAA) occlusion can reduce stroke risk in atrial fibrillation. This study details LAA anatomy and proximity to critical structures, identifying potential risks during procedures.

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Last Updated: Jul 15, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
28:13

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
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The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation

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Rodent Working Heart Model for the Study of Myocardial Performance and Oxygen Consumption

Published on: August 16, 2016

Area of Science:

  • Cardiovascular Anatomy
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Left atrial appendage (LAA) occlusion is a strategy to prevent thromboembolic events in atrial fibrillation patients.
  • Understanding LAA anatomy is crucial for safe and effective procedural interventions.

Purpose of the Study:

  • To anatomically characterize the LAA and its relationship with adjacent structures.
  • To identify potential risks to neighboring anatomy during LAA occlusion procedures.

Main Methods:

  • Gross examination of 31 human heart specimens.
  • Histological analysis of four LAA samples.
  • Endocast creation for 11 LAA specimens.
  • Measurement of LAA orifice dimensions and proximity to pulmonary veins, mitral valve, and coronary arteries.

Main Results:

  • The LAA orifice is typically oval, with a mean diameter of 17.4 mm.
  • The LAA orifice is closely situated to the left superior pulmonary vein (mean 11.1 mm) and mitral valve (mean 10.7 mm).
  • The left anterior descending artery, circumflex artery, and sinus node artery are in proximity; thin atrial walls and crevices are common near the LAA os.

Conclusions:

  • The LAA orifice anatomy presents potential risks to the left superior pulmonary vein, mitral valve, and left anterior descending coronary artery during occlusion procedures.
  • Common findings of thin atrial walls and crevices near the LAA necessitate careful consideration during interventions.