Figure 1: Stapled excision of the left atrial appendage. (a) The stapler is loaded with pericardial strips. (b) The left atrial appendage is excised, and area beneath the buttressed staple line is examined (From Gillinov AM, et al. Stapled excision of the left atrial appendage. J Thorac CV Surg 2005;129 (3):679-680. Used with permission).