Pericardial patch closure of left atrial appendage orifice Sol atriyum apendiks orifisinin perikard yama ile kapatilmasi


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Kuralay E., Çolak A., TEMİZ E.

Turkish Journal of Thoracic and Cardiovascular Surgery, vol.27, no.1, pp.127-129, 2019 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 27 Issue: 1
  • Publication Date: 2019
  • Doi Number: 10.5606/tgkdc.dergisi.2019.14750
  • Title of Journal : Turkish Journal of Thoracic and Cardiovascular Surgery
  • Page Numbers: pp.127-129
  • Keywords: Exclusion, left atrial appendage, pericardial closure, OBLITERATION, STROKE

Abstract

© 2019 by the Turkish Society of Cardiovascular Surgery.Seven patients underwent pericardial patch closure of the left atrial appendage orifice in our clinic. Usually 5-to-7 U-sutures with 4-0 prolene were placed to the left atrial appendage orifice. These sutures were stretched out to measure exact sizes of the left atrial appendage orifice. Then, U-sutures were passed through the pericardial patch which was treated with glutaraldehyde. Pericardium was placed over the left atrial appendage orifice through the left atrium and stay sutures were tied. The upper suture was continuously sutured along the border of the orifice clockwise and tied to the lower suture. The lower suture was continuously sutured in a counter-clockwise direction and tied to the upper suture. Then, mitral valve surgery (repair or replacement) was performed. © 2019 by the Turkish Society of Cardiovascular Surgery.Kliniğimizde yedi hastada sol atriyal apendiks orifisi perikard yama ile kapatildi. Genellikle 4-0 prolen ile 5-7 aski sütürü sol atriyal apendiks orifisine konuldu. Bu sütürler gerilerek orifisin gerçek boyutlari ortaya çikartildi. Ardindan aski sütürleri glutaraldehit ile muamele edilmiş perikard yamasindan geçildi. Perikard sol atriyumdan sol atriyal apendiks orifisi üzerine yerleştirildi ve geçici sütürler bağlandi. Orifisin üst siniri saat yönünde devamli sütürler ile kapatildi ve alt sütüre bağlandi. Alt siniri ise, saat yönünün aksi yönünde devamli sütürler ile kapatildi ve üst sütüre bağlandi. Daha sonra mitral kapak cerrahisi (tamir veya replasman) uygulandi.