Modification of Serum Natriuretic Peptide Profile and Echocardiographic Parameters After Surgical Left Atrial Appendage Exclusion/Resection During Mitral Valve Surgery

Vargas-Barrón, Jesús; Saucedo-Orozco, Huitzilihuitl; Sánchez-Mendoza, Alicia; Márquez-Velasco, Ricardo; Catrip-Torres, Jorge M.; Jiménez-Rojas, Valentín; Pop, Gheorghe

doi:10.1016/j.hlc.2020.09.922

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2021

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“…Data has shown a time-dependent fluctuation of ANP/B-type natriuretic peptide (BNP) level after a LAAE procedure. Some studies have consistently showed a significant decrease of A-type or B-type natriuretic peptide levels in plasma immediately after a LAAE procedure regardless of the approach used [6,7 ▪ ,8]. These concentrations may or may not return to preprocedural level.…”

Section: Introductionmentioning

confidence: 99%

Exclusion of left atrial appendage: effects beyond thromboembolic prevention

Bai

Zawaneh

Weiss

et al. 2021

Current Opinion in Cardiology

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Purpose of reviewThis review aims to summarize the nonthromboembolic prevention effects of left atrial appendage exclusion (LAAE). Recent findingsLeft atrial appendage (LAA) secretes multiple hormones; regulates blood volume and pressure; and generates trigger activities. Exclusion of the LAA by different techniques may lead to downstream effects including changes in blood pressure and cardiac performance, improvement of outcome of atrial fibrillation (AF) ablation, and alteration of metabolism. SummaryLAAE procedures not only prevent thromboembolic events in patients with AF, but rather may bring additional benefits or side-effect to patients undergoing LAAE.

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Section: Introductionmentioning

confidence: 99%