{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:34:07Z","timestamp":1760150047441,"version":"build-2065373602"},"reference-count":10,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T00:00:00Z","timestamp":1696032000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Deutsche Forschungsgemeinschaft and Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Concomitant LAA occlusion has been shown to be an effective and safe treatment for patients with atrial fibrillation during cardiac surgery to prevent embolic stroke. Minimally invasive procedures are challenging due to restricted access to and visibility of the surgical site. Also, aortic endoclamping has been developed as an alternative surgical approach to exoclamping. The aim of this article is to demonstrate the method of beating heart LAA occlusion with the Atriclip\u00ae (AtriCure, Mason, OH, USA) device during minimally invasive mitral valve surgery while using the endoclamping alternative for aortic cross-clamping.<\/jats:p>","DOI":"10.3390\/jcm12196325","type":"journal-article","created":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T04:39:30Z","timestamp":1696221570000},"page":"6325","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Left Atrial Appendage Occlusion on a Beating Heart during Minimally Invasive Valve Surgery Using an Aortic Endoclamp: A Case Report"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9541-9888","authenticated-orcid":false,"given":"Mathieu N.","family":"Suleiman","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-N\u00fcrnberg, 91054 Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann-Sophie","family":"Kaemmerer","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-N\u00fcrnberg, 91054 Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Fechner","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-N\u00fcrnberg, 91054 Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ehab","family":"Nooh","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-N\u00fcrnberg, 91054 Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Weyand","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-N\u00fcrnberg, 91054 Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Heim","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-N\u00fcrnberg, 91054 Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,9,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1161\/CIRCULATIONAHA.112.001402","article-title":"Learning minimally invasive mitral valve surgery: A cumulative sum sequential probability analysis of 3895 operations from a single high-volume center","volume":"128","author":"Holzhey","year":"2013","journal-title":"Circulation"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1159\/000520431","article-title":"Pass On What You Have Learned: A Structured Mentor-Mentee Concept for the Implementation of a Minimally Invasive Mitral Valve Surgery Program","volume":"63","author":"Heim","year":"2022","journal-title":"Eur. Surg. Res."},{"key":"ref_3","first-page":"11","article-title":"Medical, interventional, and surgical treatment strategies for atrial fibrillation","volume":"119","author":"Willems","year":"2022","journal-title":"Dtsch. \u00c4rzteblatt Int."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1093\/icvts\/ivz156","article-title":"Outcomes of left atrial appendage occlusion using the AtriClip device: A systematic review","volume":"29","author":"Toale","year":"2019","journal-title":"Interact. Cardiovasc. Thorac. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1177\/15569845221137886","article-title":"Anterior Pathway for Epicardial Left Atrial Appendage Clip Occlusion During Minimally Invasive Atrioventricular Valve Surgery","volume":"17","author":"Vondran","year":"2022","journal-title":"Innovations"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Marullo, A.G., Irace, F.G., Vitulli, P., Peruzzi, M., Rose, D., D\u2019Ascoli, R., Iaccarino, A., Pisani, A., De Carlo, C., and Mazzesi, G. (2015). Recent Developments in Minimally Invasive Cardiac Surgery: Evolution or Revolution?. BioMed Res. Int., 2015.","DOI":"10.1155\/2015\/483025"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1007\/s00398-021-00477-4","article-title":"Mitralklappenchirurgie der letzten 50 Jahre","volume":"36","author":"Misfeld","year":"2022","journal-title":"Z. F\u00fcr Herz-Thorax-Und Gef\u00e4\u00dfchirurgie"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1186\/s13019-020-01363-0","article-title":"Long-term results of endoclamping in patients undergoing minimally invasive mitral valve surgery where external aortic clamping cannot be used\u2014A propensity matched analysis","volume":"15","author":"Cetinkaya","year":"2020","journal-title":"J. Cardiothorac. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1177\/15569845221091998","article-title":"Left Atrial Appendage Ligation Using the AtriClip Device: Single-Center Study of Device Safety and Efficacy","volume":"17","author":"Kiankhooy","year":"2022","journal-title":"Innovations"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/s00399-013-0249-7","article-title":"Surgical closure of the left atrial appendage in patients with atrial fibrillation. Indications, techniques and results","volume":"24","author":"Hanke","year":"2013","journal-title":"Herzschrittmacherther+ Elektrophysiol"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/19\/6325\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:03:25Z","timestamp":1760130205000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/19\/6325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,30]]},"references-count":10,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2023,10]]}},"alternative-id":["jcm12196325"],"URL":"https:\/\/doi.org\/10.3390\/jcm12196325","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2023,9,30]]}}}