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VD06 BILATERAL STAGED THORACOSCOPIC SURGICAL TREATMENT OF LONE PERSISTENT ATRIAL FIBRILLATION WITH LEFT ATRIAL APPENDAGE THROMBOSIS

Vendramin, I.1; Rebellato, L.1; Dametto, E.2; Daleffe, E.1; Lechiancole, A.1; Livi, U.1

Journal of Cardiovascular Medicine: November 2018 - Volume 19 - Issue - p e35
doi: 10.2459/01.JCM.0000549942.94229.60
11. VIDEO 1 SATURDAY 24 - 17.15-19.15: PDF Only
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Particularity of the video: Catheter ablation and minimally invasive surgical ablation have become accepted therapy for atrial fibrillation (AF). The presence of a thrombus in the left atrial appendage (LAA) is considered an exclusion criterion for both approaches and for LAA occlusion. The procedure described could represent a new mini-invasive method to treat AF and exclude the LAA.

Brief description: We described a new mini-invasive procedure for a combined radiofrequency treatment of AF and exclusion of LLA with partial thrombosis through a bilateral thoracoscopic approach in a 71-years-old man with AF and partial thrombosis of the LAA. LAA was firstly secured by encircling its base with a 3/0 prolene Ethibinder™. Ablation was obtained by encircling the pulmonary veins origin with Estech-COBRAFusion™ device, delivering both bipolar and monopolar energy. LAA exclusion was finally achieved by deploying the Atricure-AtriClipPRO2™. Postoperative course was uneventful and the patient was discharged in sinus rhythm.

1Dipartimento Cardiotoracico Udine, Italy

2Dipartimento di Cardiologia Pordenone, Italy

© 2018 Italian Federation of Cardiology. All rights reserved.