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Updated: Feb 5, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Totally Thoracoscopic Closure of the Left Atrial Appendage
Basel Ramlawi1, Kareem Bedeir2, James R Edgerton3
1Heart & Vascular Center, Valley Health System, Winchester, Virginia.
Abstract:
The left atrial appendage (LAA) is a major site of clot formation in atrial fibrillation. Stand-alone thoracoscopic LAA complete closure can decrease stroke risk and may be an alternative to life-long oral anticoagulation. This report describes a technique for totally thoracoscopic LAA exclusion with an epicardial clip device. This approach provides a safe and likely more effective alternative to LAA management than other endocardial devices.
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