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
in English
| LILACS, Sec. Est. Saúde SP
| ID: biblio-1143991
Responsible library:
BR1.1
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.
Full text:
Available
Collection:
National databases
/
Brazil
Database:
LILACS
/
Sec. Est. Saúde SP
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
Document type:
Article
Institution/Affiliation country:
Civic Hospital/IT
/
University Hospital of Udine/IT