{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T01:36:40Z","timestamp":1773797800193,"version":"3.50.1"},"reference-count":28,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T00:00:00Z","timestamp":1743120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["structuralheartjournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Structural Heart"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.shj.2025.100469","type":"journal-article","created":{"date-parts":[[2025,4,6]],"date-time":"2025-04-06T19:48:21Z","timestamp":1743968901000},"page":"100469","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Postoperative Transesophageal Echocardiographic Evaluation of Surgical Left Atrial Appendage Exclusion: Characterization and Predictors of Success"],"prefix":"10.1016","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0665-4294","authenticated-orcid":false,"given":"Karl M.","family":"Richardson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karanpreet K.","family":"Dhaliwal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4487-2152","authenticated-orcid":false,"given":"Sebastian S.","family":"Hernandez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0104-3291","authenticated-orcid":false,"given":"Rohesh J.","family":"Fernando","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7266-0951","authenticated-orcid":false,"given":"Matthew J.","family":"Singleton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0664-7828","authenticated-orcid":false,"given":"Prashant D.","family":"Bhave","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.shj.2025.100469_bib1","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1056\/NEJMcp2023658","article-title":"Atrial fibrillation","volume":"384","author":"Michaud","year":"2021","journal-title":"N Engl J Med"},{"key":"10.1016\/j.shj.2025.100469_bib2","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.121.022274","article-title":"Left atrial appendage occlusion for stroke prevention in nonvalvular atrial fibrillation","volume":"10","author":"Collado","year":"2021","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.shj.2025.100469_bib3","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1016\/S1010-7940(00)00419-X","article-title":"The left atrial appendage: our most lethal human attachment! Surgical implications","volume":"17","author":"Johnson","year":"2000","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.shj.2025.100469_bib4","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.117.005359","article-title":"Percutaneous left atrial appendage closure: current devices and clinical outcomes","volume":"10","author":"Asmarats","year":"2017","journal-title":"Circ Cardiovasc Interv"},{"key":"10.1016\/j.shj.2025.100469_bib5","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2019.14268","article-title":"Clinical outcomes of mortality, readmissions, and ischemic stroke among Medicare patients undergoing left atrial appendage closure via implanted device","volume":"2","author":"Kabra","year":"2019","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.shj.2025.100469_bib6","doi-asserted-by":"crossref","first-page":"2081","DOI":"10.1056\/NEJMoa2101897","article-title":"Left atrial appendage occlusion during cardiac surgery to prevent stroke","volume":"384","author":"Whitlock","year":"2021","journal-title":"N Engl J Med"},{"key":"10.1016\/j.shj.2025.100469_bib7","first-page":"e35","article-title":"2020 ACC\/AHA Guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology\/American Heart Association joint committee on clinical practice guidelines","volume":"143","author":"Otto","year":"2021","journal-title":"Circulation"},{"key":"10.1016\/j.shj.2025.100469_bib8","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1001\/jama.2017.20125","article-title":"Association between left atrial appendage occlusion and readmission for thromboembolism among patients with atrial fibrillation undergoing Concomitant cardiac surgery","volume":"319","author":"Friedman","year":"2018","journal-title":"JAMA"},{"key":"10.1016\/j.shj.2025.100469_bib9","doi-asserted-by":"crossref","first-page":"2116","DOI":"10.1001\/jama.2018.6024","article-title":"Association of surgical left atrial appendage occlusion with subsequent stroke and mortality among patients undergoing cardiac surgery","volume":"319","author":"Yao","year":"2018","journal-title":"JAMA"},{"key":"10.1016\/j.shj.2025.100469_bib10","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1186\/s13019-018-0740-7","article-title":"Adding left atrial appendage closure to open heart surgery provides protection from ischemic brain injury six years after surgery independently of atrial fibrillation history: the LAACS randomized study","volume":"13","author":"Park-Hansen","year":"2018","journal-title":"J Cardiothorac Surg"},{"key":"10.1016\/j.shj.2025.100469_bib11","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1161\/CIRCULATIONAHA.110.976449","article-title":"Safety of percutaneous left atrial appendage closure: results from the watchman left atrial appendage system for embolic protection in patients with AF (PROTECT AF) clinical trial and the continued access registry","volume":"123","author":"Reddy","year":"2011","journal-title":"Circulation"},{"key":"10.1016\/j.shj.2025.100469_bib12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jacc.2014.04.029","article-title":"Prospective randomized evaluation of the watchman left atrial appendage closure device in patients with atrial fibrillation versus long-term warfarin therapy: the PREVAIL trial","volume":"64","author":"Holmes","year":"2014","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.shj.2025.100469_bib13","doi-asserted-by":"crossref","first-page":"3122","DOI":"10.1016\/j.jacc.2020.04.067","article-title":"Left atrial appendage closure versus direct oral anticoagulants in high-risk patients with atrial fibrillation","volume":"75","author":"Osmancik","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.shj.2025.100469_bib14","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1016\/j.jacc.2022.04.062","article-title":"Impact of peridevice leak on 5-year outcomes after left atrial appendage closure","volume":"80","author":"Dukkipati","year":"2022","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.shj.2025.100469_bib15","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.jacep.2021.06.018","article-title":"Temporal changes and clinical implications of delayed peridevice leak following left atrial appendage closure","volume":"8","author":"Afzal","year":"2022","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.shj.2025.100469_bib16","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1016\/j.hrthm.2015.03.028","article-title":"Association between incomplete surgical ligation of left atrial appendage and stroke and systemic embolization","volume":"12","author":"Aryana","year":"2015","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.shj.2025.100469_bib17","doi-asserted-by":"crossref","first-page":"S287","DOI":"10.1016\/j.hrthm.2023.03.1542","article-title":"PO-02-134 Real world clinical management after surgical left atrial appendage excision","volume":"20","author":"Dhaliwal","year":"2023","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.shj.2025.100469_bib18","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1016\/j.jacc.2008.03.067","article-title":"Success of surgical left atrial appendage closure: assessment by transesophageal echocardiography","volume":"52","author":"Kanderian","year":"2008","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.shj.2025.100469_bib19","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1093\/icvts\/ivz176","article-title":"Incidence and characteristics of left atrial appendage stumps after device-enabled epicardial closure","volume":"29","author":"Caliskan","year":"2019","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.shj.2025.100469_bib20","doi-asserted-by":"crossref","first-page":"E901","DOI":"10.1532\/hsf.3511","article-title":"A comparative study between different surgical techniques for left atrial exclusion in patients undergoing Concomitant cardiac surgery","volume":"24","author":"Abdeljawad","year":"2021","journal-title":"Heart Surg Forum"},{"key":"10.1016\/j.shj.2025.100469_bib21","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1016\/j.jtcvs.2016.06.009","article-title":"A randomized, prospective pilot comparison of 3 atrial appendage elimination techniques: internal ligation, stapled excision, and surgical excision","volume":"152","author":"Lee","year":"2016","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.shj.2025.100469_bib22","doi-asserted-by":"crossref","first-page":"6252","DOI":"10.21037\/jtd-21-1138","article-title":"Left atrial appendage elimination techniques: stapled excision versus internal suture obliteration","volume":"13","author":"Kang","year":"2021","journal-title":"J Thorac Dis"},{"key":"10.1016\/j.shj.2025.100469_bib23","doi-asserted-by":"crossref","first-page":"1356","DOI":"10.1016\/j.jacep.2017.03.008","article-title":"Angiographic efficacy of the Atriclip left atrial appendage exclusion device placed by minimally invasive thoracoscopic approach","volume":"3","author":"Ellis","year":"2017","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.shj.2025.100469_bib24","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/j.ahj.2004.09.054","article-title":"Left Atrial Appendage Occlusion Study (LAAOS): results of a randomized controlled pilot study of left atrial appendage occlusion during coronary bypass surgery in patients at risk for stroke","volume":"150","author":"Healey","year":"2005","journal-title":"Am Heart J"},{"key":"10.1016\/j.shj.2025.100469_bib25","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1016\/S0735-1097(00)00765-8","article-title":"Surgical left atrial appendage ligation is frequently incomplete: a transesophageal echocardiograhic study","volume":"36","author":"Katz","year":"2000","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.shj.2025.100469_bib26","doi-asserted-by":"crossref","first-page":"1368","DOI":"10.1111\/echo.13263","article-title":"Intraoperative assessment of left atrial diverticulum and remnant stump after left atrial appendage epicardial occlusion","volume":"33","author":"Suwalski","year":"2016","journal-title":"Echocardiogr Mt Kisco N"},{"key":"10.1016\/j.shj.2025.100469_bib27","doi-asserted-by":"crossref","first-page":"2491","DOI":"10.1161\/CIRCULATIONAHA.110.011031","article-title":"Prevalence and significance of alterations in cardiac structure and function in patients with heart failure and a preserved ejection fraction","volume":"124","author":"Zile","year":"2011","journal-title":"Circulation"},{"key":"10.1016\/j.shj.2025.100469_bib28","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2013-004001","article-title":"Association of early adult modifiable cardiovascular risk factors with left atrial size over a 20-year follow-up period: the CARDIA study","volume":"4","author":"Armstrong","year":"2014","journal-title":"BMJ Open"}],"container-title":["Structural Heart"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2474870625000612?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2474870625000612?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T03:52:49Z","timestamp":1755748369000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2474870625000612"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":28,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["S2474870625000612"],"URL":"https:\/\/doi.org\/10.1016\/j.shj.2025.100469","relation":{},"ISSN":["2474-8706"],"issn-type":[{"value":"2474-8706","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Postoperative Transesophageal Echocardiographic Evaluation of Surgical Left Atrial Appendage Exclusion: Characterization and Predictors of Success","name":"articletitle","label":"Article Title"},{"value":"Structural Heart","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.shj.2025.100469","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc. on behalf of Cardiovascular Research Foundation.","name":"copyright","label":"Copyright"}],"article-number":"100469"}}