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Left Atrial Appendage Thrombosis and Persistent Atrial Fibrillation: combined Treatment with a Totally Thoracoscopic Approach

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 encircl...

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Detalles Bibliográficos
Autores principales: Vendramin, Igor, Lechiancole, Andrea, Rebellato, Luca, Dametto, Ermanno, Bortolotti, Uberto, Livi, Ugolino
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731846/
https://www.ncbi.nlm.nih.gov/pubmed/33113312
http://dx.doi.org/10.21470/1678-9741-2020-0028
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author Vendramin, Igor
Lechiancole, Andrea
Rebellato, Luca
Dametto, Ermanno
Bortolotti, Uberto
Livi, Ugolino
author_facet Vendramin, Igor
Lechiancole, Andrea
Rebellato, Luca
Dametto, Ermanno
Bortolotti, Uberto
Livi, Ugolino
author_sort Vendramin, Igor
collection PubMed
description 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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spelling pubmed-77318462020-12-16 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 Braz J Cardiovasc Surg How I Do It 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. Sociedade Brasileira de Cirurgia Cardiovascular 2020 /pmc/articles/PMC7731846/ /pubmed/33113312 http://dx.doi.org/10.21470/1678-9741-2020-0028 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle How I Do It
Vendramin, Igor
Lechiancole, Andrea
Rebellato, Luca
Dametto, Ermanno
Bortolotti, Uberto
Livi, Ugolino
Left Atrial Appendage Thrombosis and Persistent Atrial Fibrillation: combined Treatment with a Totally Thoracoscopic Approach
title Left Atrial Appendage Thrombosis and Persistent Atrial Fibrillation: combined Treatment with a Totally Thoracoscopic Approach
title_full Left Atrial Appendage Thrombosis and Persistent Atrial Fibrillation: combined Treatment with a Totally Thoracoscopic Approach
title_fullStr Left Atrial Appendage Thrombosis and Persistent Atrial Fibrillation: combined Treatment with a Totally Thoracoscopic Approach
title_full_unstemmed Left Atrial Appendage Thrombosis and Persistent Atrial Fibrillation: combined Treatment with a Totally Thoracoscopic Approach
title_short Left Atrial Appendage Thrombosis and Persistent Atrial Fibrillation: combined Treatment with a Totally Thoracoscopic Approach
title_sort left atrial appendage thrombosis and persistent atrial fibrillation: combined treatment with a totally thoracoscopic approach
topic How I Do It
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731846/
https://www.ncbi.nlm.nih.gov/pubmed/33113312
http://dx.doi.org/10.21470/1678-9741-2020-0028
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