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Left atrial appendage thrombosis and persistent atrial fibrillation: combined treatment with a totally thoracoscopic approach
Vendramin, Igor; Lechiancole, Andrea; Rebellato, Luca; Dametto, Ermanno; Bortolotti, Uberto; Livi, Ugolino.
  • Vendramin, Igor; University Hospital of Udine. Cardiothoracic Department. Udine. IT
  • Lechiancole, Andrea; University Hospital of Udine. Cardiothoracic Department. Udine. IT
  • Rebellato, Luca; University Hospital of Udine. Cardiothoracic Department. Udine. IT
  • Dametto, Ermanno; Civic Hospital. Division of Cardiology. Pordenone. IT
  • Bortolotti, Uberto; University Hospital of Udine. Cardiothoracic Department. Udine. IT
  • Livi, Ugolino; University Hospital of Udine. Cardiothoracic Department. Udine. IT
Rev. bras. cir. cardiovasc ; 35(6): 999-1002, Nov.-Dec. 2020. tab, graf
Article in English | LILACS, SES-SP | ID: biblio-1143991
ABSTRACT
Abstract Minimally invasive surgical ablation is generally contraindicated in patients with atrial fibrillation and thrombosis of the left atrial appendage. We have treated three of these patients using an innovative technique based on a bilateral video-thoracoscopic approach, performing a continuous encircling lesion at the pulmonary veins outflow with radio-frequency ablation, simultaneously excluding the left atrial appendage. The postoperative course was uneventful, without neurologic events and all patients maintained a stable sinus rhythm at 1-year follow-up. This procedure represents a new mini-invasive method to treat persistent atrial fibrillation when partial thrombosis of the left atrial appendage contraindicates other ablation techniques.
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Full text: Available Index: LILACS (Americas) Main subject: Atrial Fibrillation / Thrombosis / Catheter Ablation / Atrial Appendage Type of study: Prognostic study Limits: Humans Language: English Journal: Rev. bras. cir. cardiovasc Year: 2020 Type: Article Institution/Affiliation country: Civic Hospital/IT / University Hospital of Udine/IT

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Full text: Available Index: LILACS (Americas) Main subject: Atrial Fibrillation / Thrombosis / Catheter Ablation / Atrial Appendage Type of study: Prognostic study Limits: Humans Language: English Journal: Rev. bras. cir. cardiovasc Year: 2020 Type: Article Institution/Affiliation country: Civic Hospital/IT / University Hospital of Udine/IT