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OBJECTIVE: To demonstrate the technique of minimally invasive exclusion of left atrial appendage during concomitant surgery for atrial fibrillation as well as a stand-alone procedure in some patients.
METHODS: This video is based on 4 patients who underwent the exclusion of left atrial appendage using an epicardial clip by a single surgeon using video-assistance.
RESULTS: The left atrial appendage was successfully excluded in all patients with no significant morbidity or mortality
CONCLUSIONS: The left atrial appendage can be safely and reliably excluded using an epicardial clip in patients undergoing concomitant surgery such as cryomaze, as well as some selected patients at high risk of stoke who are not candidates for anticoagulation.