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Combined ablation of atrial fibrillation and minimally invasive mitral valve surgery: a case report

A partial lower inverted J sternotomy and an extended transseptal incision provide excellent exposure for minimally invasive mitral valve surgery. However, the extended trasnsseptal incision causes dividing the sinus node artery, which may result in conduction system disturbance and need for permane...

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Autores principales: Izutani, Hironori, Ryugo, Masahiro, Shikata, Fumiaki, Kawamura, Masashi, Nakata, Tatsuhiro, Okamura, Toru, Yasugi, Takumi, Nagashima, Mitsugi, Kawachi, Kanji
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2958893/
https://www.ncbi.nlm.nih.gov/pubmed/20937138
http://dx.doi.org/10.1186/1749-8090-5-79
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author Izutani, Hironori
Ryugo, Masahiro
Shikata, Fumiaki
Kawamura, Masashi
Nakata, Tatsuhiro
Okamura, Toru
Yasugi, Takumi
Nagashima, Mitsugi
Kawachi, Kanji
author_facet Izutani, Hironori
Ryugo, Masahiro
Shikata, Fumiaki
Kawamura, Masashi
Nakata, Tatsuhiro
Okamura, Toru
Yasugi, Takumi
Nagashima, Mitsugi
Kawachi, Kanji
author_sort Izutani, Hironori
collection PubMed
description A partial lower inverted J sternotomy and an extended transseptal incision provide excellent exposure for minimally invasive mitral valve surgery. However, the extended trasnsseptal incision causes dividing the sinus node artery, which may result in conduction system disturbance and need for permanent pacemaker implantation. Therefore, there is a challenge in the patient who requires concomitant ablation for atrial fibrillation because of possible conduction system disturbance caused by extended transseptal incision. We describe a new strategy for combined ablation of atrial fibrillation with minimally invasive cardiac surgery by a transseptal approach to the mitral valve through a partial lower sternotomy incision. Cryoablation was performed using a T-shaped cryoprobe with a lesion set of pulmonary vein isolation and ablation of the left and right isthmus in performing mitral annuloplasty, tricuspid annuloplasty, and atrial septal defect closure through a limited sternotomy incision. This technique might minimize possible conduction system disturbance and provide good surgical result for the patients who undergo mitral valve surgery and ablation of atrial fibrillation.
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spelling pubmed-29588932010-10-22 Combined ablation of atrial fibrillation and minimally invasive mitral valve surgery: a case report Izutani, Hironori Ryugo, Masahiro Shikata, Fumiaki Kawamura, Masashi Nakata, Tatsuhiro Okamura, Toru Yasugi, Takumi Nagashima, Mitsugi Kawachi, Kanji J Cardiothorac Surg Case Report A partial lower inverted J sternotomy and an extended transseptal incision provide excellent exposure for minimally invasive mitral valve surgery. However, the extended trasnsseptal incision causes dividing the sinus node artery, which may result in conduction system disturbance and need for permanent pacemaker implantation. Therefore, there is a challenge in the patient who requires concomitant ablation for atrial fibrillation because of possible conduction system disturbance caused by extended transseptal incision. We describe a new strategy for combined ablation of atrial fibrillation with minimally invasive cardiac surgery by a transseptal approach to the mitral valve through a partial lower sternotomy incision. Cryoablation was performed using a T-shaped cryoprobe with a lesion set of pulmonary vein isolation and ablation of the left and right isthmus in performing mitral annuloplasty, tricuspid annuloplasty, and atrial septal defect closure through a limited sternotomy incision. This technique might minimize possible conduction system disturbance and provide good surgical result for the patients who undergo mitral valve surgery and ablation of atrial fibrillation. BioMed Central 2010-10-11 /pmc/articles/PMC2958893/ /pubmed/20937138 http://dx.doi.org/10.1186/1749-8090-5-79 Text en Copyright ©2010 Izutani et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Izutani, Hironori
Ryugo, Masahiro
Shikata, Fumiaki
Kawamura, Masashi
Nakata, Tatsuhiro
Okamura, Toru
Yasugi, Takumi
Nagashima, Mitsugi
Kawachi, Kanji
Combined ablation of atrial fibrillation and minimally invasive mitral valve surgery: a case report
title Combined ablation of atrial fibrillation and minimally invasive mitral valve surgery: a case report
title_full Combined ablation of atrial fibrillation and minimally invasive mitral valve surgery: a case report
title_fullStr Combined ablation of atrial fibrillation and minimally invasive mitral valve surgery: a case report
title_full_unstemmed Combined ablation of atrial fibrillation and minimally invasive mitral valve surgery: a case report
title_short Combined ablation of atrial fibrillation and minimally invasive mitral valve surgery: a case report
title_sort combined ablation of atrial fibrillation and minimally invasive mitral valve surgery: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2958893/
https://www.ncbi.nlm.nih.gov/pubmed/20937138
http://dx.doi.org/10.1186/1749-8090-5-79
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