Left atrial appendage thrombosis and persistent atrial fibrillation: combined treatment with a totally thoracoscopic approach
Rev. bras. cir. cardiovasc
;
35(6): 999-1002, Nov.-Dec. 2020. tab, graf
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Fibrilación Atrial
/
Trombosis
/
Ablación por Catéter
/
Apéndice Atrial
Tipo de estudio:
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Rev. bras. cir. cardiovasc
Año:
2020
Tipo del documento:
Artículo
Institución/País de afiliación:
Civic Hospital/IT
/
University Hospital of Udine/IT
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