Concomitant Afib LAA Management – UROP Spring Symposium 2023

Concomitant Afib LAA Management

Jack Proebstle

Jack Proebstle photo

Pronouns: He/Him

Research Mentor(s): Steven Bolling
Research Mentor School/College/Department: The Department of Cardiac Surgery / Medicine
Program: CG
Session: Session 6 (3:40pm – 4:30pm)
Authors: Jack Proebstle, China Green, Steven Bolling

Abstract

The broad health problem existing in my research field that my team is investigating is the diagnosis and treatment of Cardiovascular disease. My team is making sure that those in cardiac surgery are able to better understand Cardiovascular disease to be more familiar with ways to surgically manage this disease. In our current study, we are looking at the best way to manage the left atrial appendage in patients with pre-operative atrial fibrillation. Patients with pre-operative atrial fibrillation have higher risk of stroke and death1,2. Many times, this is caused by a clot forming in the left atrial appendage and traveling to the brain. One way to manage this is to ligate the left atrial appendage during their open heart surgery. We are performing a retrospective chart review of patients from 2011-2022 that underwent surgery at Michigan Medicine. Thus far, the general trend is that a left atrial appendage ligation does indeed decrease stroke and death in those patients. These findings will be very beneficial to the field of cardiac surgery as they help other institutions in their efforts to treat patients with atrial fibrillation. 1. American Heart Association. Heart Disease and Stroke Statistics –2006 Update. Circulation. 2006; 113:e85-e151 2. Secular Trends in Incidence of Atrial Fibrillation in Olmsted County, Minnesota, 1980 to 2000, and Implications on the Projections for Future Prevalence, Yoko Miyasaka, Marion E. Barnes, Bernard J.Gersh, Stephen S. Cha, Kent R. Bailey, Walter P. Abhayaratna, James B. Seward and Teresa S.M. Tsang. Circulation 2006; 114; 119-125.

Changing Gears

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