ArticleJACC. Case reports2025
Novel Solution for Left Main Coronary Artery Obstruction During Surgical Left Atrial Appendage Clipping.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Saphenous Vein Graft Kinking Secondary to Left Atrial Appendage Clip Causing Type 5 Myocardial Infarction.JACC. Case reports · 2026Article
- Uncommon, But What If it Happens?: Left Coronary Artery Occlusion During Left Atrial Appendage Clipping.JACC. Case reports · 2025Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLeft main coronary artery occlusion during surgical left atrial appendage closure is a rare but critical complication. CASE SUMMARY: We report 2 cases of left main coronary artery occlusion diagnosed intraoperatively during concomitant surgical left atrial appendage closure with a clipping device via an endoscopic minimally invasive approach. Both cases were successfully managed by suturing the clip to the left atrial wall, distancing it from the coronary artery. DISCUSSION: Previous reports have documented this complication, but this is the first report of using this particular resolution method. Our approach provides a physiological solution to left main coronary artery obstruction, offering a practical and effective strategy for intraoperative management. TAKE-HOME MESSAGE: Awareness and prompt management of this complication are crucial during LAAO procedures. The novel method of suturing the clip to the cranial left atrial wall effectively resolves the issue.
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