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We present a unique case of left atrial appendage occlusion performed via video-assisted thoracoscopic surgery, using an Atriclip to occlude the left atrial appendage in a patient with atrial fibrillation in whom anticoagulation was contraindicated due to a history of recurrent upper gastrointestinal bleeding.<\/jats:p>","DOI":"10.1177\/0218492314563086","type":"journal-article","created":{"date-parts":[[2014,12,11]],"date-time":"2014-12-11T23:03:57Z","timestamp":1418339037000},"page":"372-374","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Video-assisted thoracoscopic surgery atrial clipping for atrial fibrillation"],"prefix":"10.1177","volume":"24","author":[{"given":"Harish","family":"Mithiran","sequence":"first","affiliation":[{"name":"Department of Cardiac, Thoracic & Vascular Surgery, National University Health System, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jai","family":"Sule","sequence":"additional","affiliation":[{"name":"Department of Cardiac, Thoracic & Vascular Surgery, National University Health System, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faizus","family":"Sazzad","sequence":"additional","affiliation":[{"name":"Department of Cardiac, Thoracic & Vascular Surgery, National University Health System, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yilin","family":"Ong","sequence":"additional","affiliation":[{"name":"Yong Loo Lin School of Medicine, National University of Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lian","family":"Kah Ti","sequence":"additional","affiliation":[{"name":"Yong Loo Lin School of Medicine, National University of Singapore"},{"name":"Department of Anesthesia, National University Health System, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theo","family":"Kofidis","sequence":"additional","affiliation":[{"name":"Department of Cardiac, Thoracic & Vascular Surgery, National University Health System, Singapore"},{"name":"Yong Loo Lin School of Medicine, National University of Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,12,11]]},"reference":[{"key":"bibr1-0218492314563086","doi-asserted-by":"crossref","first-page":"1505","DOI":"10.1056\/NEJM199011293232201","volume":"323","author":"The effect of low-dose warfarin on the risk of stroke in patients with nonrheumatic atrial fibrillation","year":"1990","journal-title":"New Engl J Med"},{"key":"bibr2-0218492314563086","doi-asserted-by":"crossref","unstructured":"Warfarin versus aspirin for prevention of thromboembolism in atrial fibrillation: Stroke Prevention in Atrial Fibrillation II Study. 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