Document Detail


Minimally invasive epicardial left atrial ablation and appendectomy for refractory atrial tachycardia.
MedLine Citation:
PMID:  18805205     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Surgical removal or epicardial radiofrequency ablation of the left atrial appendage (LAA) is occasionally required when endocardial ablations fail. We report a modified minimally invasive surgical approach for elimination of recurrent atrial arrhythmias arising from the LAA, including both radiofrequency ablation and appendectomy. Ablation of the LAA base was performed using the Medtronic Cardioblate bipolar radiofrequency device (Medtronic, Minneapolis, MN), and left atrial appendectomy was then completed using the EndoGIA stapling system (US Surgical, Norwalk, CT). This procedure successfully isolated and removed the tachycardia focus, and normal sinus rhythm was restored. Elimination of LAA arrhythmias using a combination of epicardial radiofrequency ablation and appendectomy ensures electrical isolation while minimizing surgical invasiveness.
Authors:
Jeremy R McGarvey; David Schwartzman; Takeyoshi Ota; Marco A Zenati
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  86     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-22     Completed Date:  2008-10-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1375-7     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiac Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA.
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MeSH Terms
Descriptor/Qualifier:
Atrial Appendage / physiopathology,  surgery*
Atrial Fibrillation / diagnosis,  surgery*
Catheter Ablation / methods*
Combined Modality Therapy
Electrocardiography
Female
Follow-Up Studies
Humans
Middle Aged
Risk Assessment
Severity of Illness Index
Surgical Procedures, Minimally Invasive / methods
Tachycardia, Supraventricular / diagnosis,  surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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