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
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Fibrillation auriculaire
/
Thrombose
/
Ablation par cathéter
/
Auricule de l'atrium
Type d'étude:
Étude pronostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Rev. bras. cir. cardiovasc
Année:
2020
Type:
Article
Institution/Pays d'affiliation:
Civic Hospital/IT
/
University Hospital of Udine/IT
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