ArticleJACC. Case reports2025
Robot-Assisted Minimally Invasive Strategy for a Large Mobile Thrombus Originating From the Left Atrial Appendage.
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 1 paper.
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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
1 citing paper in PubMed.
- Robotic Cardiac Surgery in High-Risk Patients: Are We Ready for Prime Time?JACC. Case reports · 2025Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLarge, mobile thrombus in the left atrial appendage (LAA) carries an urgent risk of systemic embolization. Management is challenging when anticoagulation or open surgery is unsuitable in elderly or frail patients. CASE SUMMARY: A 78-year-old woman with prior atrial fibrillation ablation was detected a large mobile LAA thrombus on surveillance imaging after self-discontinuing apixaban. Anticoagulation and systemic thrombolysis carried a high embolic risk, open surgery was unsuitable due to age and frailty, and percutaneous closure was contraindicated. Urgent robot-assisted en bloc thrombectomy with internal LAA closure via right mini-thoracotomy achieved complete exclusion. She was discharged on postoperative day 5 without complications. DISCUSSION: Robot-assisted cardiac surgery enables definitive thrombus removal and secure LAA closure in selected high-risk patients, offering a minimally invasive alternative to sternotomy. TAKE-HOME MESSAGE: In elderly, frail patients with large, mobile LAA thrombus, robot-assisted minimally invasive surgery is a safe, effective alternative when conventional strategies are unsuitable.
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