11. VIDEO 1 SATURDAY 24 - 17.15-19.15VD06 BILATERAL STAGED THORACOSCOPIC SURGICAL TREATMENT OF LONE PERSISTENT ATRIAL FIBRILLATION WITH LEFT ATRIAL APPENDAGE THROMBOSISVendramin, I.1; Rebellato, L.1; Dametto, E.2; Daleffe, E.1; Lechiancole, A.1; Livi, U.1Author Information 1Dipartimento Cardiotoracico Udine, Italy 2Dipartimento di Cardiologia Pordenone, Italy Journal of Cardiovascular Medicine: November 2018 - Volume 19 - Issue - p e35 doi: 10.2459/01.JCM.0000549942.94229.60 Buy Metrics Abstract 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. © 2018 Italian Federation of Cardiology - I.F.C. All rights reserved.