Imaging for Patient's Selection and Guidance of LAA and ASD Percutaneous and Surgical Closure

Francesco F Faletra; Muhamed Saric; Jacqueline Saw; Mathieu Lempereur; Thoesten Hanke; Mani A Vannan

doi:10.1016/j.jcmg.2019.06.032

Imaging for Patient's Selection and Guidance of LAA and ASD Percutaneous and Surgical Closure

JACC Cardiovasc Imaging. 2021 Jan;14(1):3-21. doi: 10.1016/j.jcmg.2019.06.032. Epub 2020 Jul 15.

Authors

Francesco F Faletra¹, Muhamed Saric², Jacqueline Saw³, Mathieu Lempereur⁴, Thoesten Hanke⁵, Mani A Vannan⁶

Affiliations

¹ Cardiocentro Ticino Lugano, Lugano, Switzerland. Electronic address: francesco.faletra@cardiocentro.org.
² New York University, New York, New York, USA.
³ Vancouver General Hospital, Vancouver, Canada.
⁴ University Hospital Liege, Liege, Belgium.
⁵ Department for Cardiac Surgery, Asklepios Klinikum Harburg, Hamburg, Germany.
⁶ Marcus Heart Valve Center Piedmont Heart Institute Atlanta, Atlanta, Georgia, USA.

PMID: 32682721
DOI: 10.1016/j.jcmg.2019.06.032

Abstract

This review comprises 2 main subjects: the percutaneous and surgical closure of the left atrial appendage (LAA) and atrial septal defect (ASD). The aim of the authors was to provide a detailed description of: 1) anatomy of LAA, normal interatrial septum, and the various types of ASD as revealed by noninvasive imaging techniques; 2) preprocedure planning of secundum ASD and LAA percutaneous closure; 3) key steps of the procedural guidance emphasizing the role of 2-dimensional/3-dimensional transesophageal echocardiography; and 4) surgical closure of LAA and ASD.

Keywords: atrial septal defect; left atrial appendage; percutaneous closure; surgical closure.

Publication types

Review

MeSH terms

Atrial Appendage* / diagnostic imaging
Atrial Fibrillation
Cardiac Catheterization
Echocardiography, Transesophageal
Foramen Ovale, Patent
Heart Septal Defects, Atrial*
Humans
Predictive Value of Tests
Treatment Outcome