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Atoui M, Pillarisetti J, Iskandar S, et al. Left Atrial Appendage Tachycardia Termination With A LARIAT Suture Ligation. J Atr Fibrillation. 2015;8(4):1380doi: 10.4022/jafib.1380.
Atoui, M., Pillarisetti, J., Iskandar, S., Earnest, M., & Lakkireddy, D. (2015). Left Atrial Appendage Tachycardia Termination With A LARIAT Suture Ligation. Journal of atrial fibrillation, 8(4), 1380. https://doi.org/10.4022/jafib.1380
Atoui, Moustapha, et al. "Left Atrial Appendage Tachycardia Termination With A LARIAT Suture Ligation." Journal of atrial fibrillation vol. 8,4 (2015): 1380. doi: https://doi.org/10.4022/jafib.1380
Atoui M, Pillarisetti J, Iskandar S, Earnest M, Lakkireddy D. Left Atrial Appendage Tachycardia Termination With A LARIAT Suture Ligation. J Atr Fibrillation. 2015 Dec 31;8(4):1380. doi: 10.4022/jafib.1380. eCollection 2015 Dec. PMID: 27957234; PMCID: PMC5135193.
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J Atr Fibrillation. 2015 Dec 31;8(4):1380. doi: 10.4022/jafib.1380. eCollection 2015 Dec.

Left Atrial Appendage Tachycardia Termination With A LARIAT Suture Ligation.

Journal of atrial fibrillation

Moustapha Atoui, Jayasree Pillarisetti, Sandia Iskandar, Matthew Earnest, Dhanunjaya Lakkireddy

Affiliations

  1. Division of Cardiology, University of Kansas Hospital and Medical Center, Kansas City, KS.

PMID: 27957234 PMCID: PMC5135193 DOI: 10.4022/jafib.1380

Abstract

Left atrial appendage (LAA) is a known trigger for left atrial tachycardia (AT). The use of LARIAT epicardial suture for termination of AT arising from LAA is not yet reported. A 66-year-old female had a history of hypertension, diabetes, sick sinus syndrome, labile INR, and symptomatic persistent AF. She underwent radiofrequency ablation after failed cardioversion and multiple antiarrhythmics. She was in AT originating from LAA on activation map. Radiofrequency endocardial LAA isolation was performed. However, the AT recurred with increased burden and symptoms. Due to her multiple hospitalization for spontaneous bleeds and labile INR, a Lariat epicardial suture ligation of her LAA was performed. With application of the Lariat suture, electrical isolation was achieved and the AT terminated. She remained AT free at 18 months. Our case is the first to illustrate the utility of LARIAT suture in electrical isolation of the LAA in addition to its mechanical exclusion.

Keywords: Atrial Tachycardia; LARIAT; Left Atrial Appendage

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