The Convergent Ablation and AtriClip Exclusion of the Left Atrial Appendage in Long-Standing Persistent Atrial Fibrillation

被引：1

作者：

Ranjan, Redoy ^{[1
,2
]}

Kaba, Riyaz ^{[2
]}

Chandrasekaran, Venkatachalam ^{[2
]}

Momin, Aziz ^{[2
]}

机构：

[1] Bangabandhu Sheikh Mujib Med Univ, Dept Cardiac Surg, D Block,5th Floor,Room 600, Dhaka 1000, Bangladesh

[2] St Georges Univ Hosp NHS Fdn Trust, London, England

来源：

CLINICAL MEDICINE INSIGHTS-CASE REPORTS | 2022年 / 15卷

关键词：

Persistent atrial fibrillation; arrhythmia; hybrid ablation; Atriclip device; OCCLUSION; OUTCOMES;

D O I：

10.1177/11795476221120778

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We here present a case of a 54-year-old man with longstanding persistent atrial fibrillation refractory to direct current electrical cardioversion who underwent a concurrent convergent ablation and Atriclip exclusion of left atrial appendage. His preoperative echocardiography revealed dilated 5.8cm left atrium with a normal left ventricular ejection fraction of 50%. Transmural isolation of pulmonary veins was performed through a subxiphoid approach, and 3 left-sided video-assisted thoracoscopic surgery ports were utilised to occlude the base of the left atrium appendage with the Atriclip device. A peri-operative transoesophageal echocardiogram confirmed left atrium appendage base occlusion. and the patient was in sinus rhythm after having a single 200 kJ direct current cardioversion shock. The postoperative period was uneventful, and the patient was discharged with preprocedural anticoagulant after 24 hours of the procedure and advised to come for follow up after 3months.

引用

页数：4

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