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J Thorac Cardiovasc Surg 2008;136:521-522
© 2008 The American Association for Thoracic Surgery

Brief Communication

Completely thoracoscopic bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation

A. Yilmaz*, B.P. Van Putte, W.J. Van Boven

Department of Cardiothoracic Surgery, St Antonius Hospital, Nieuwegein, The Netherlands

Received for publication July 30, 2007; revisions received December 28, 2007; accepted for publication January 29, 2008.

* Address for reprints: A. Yilmaz, cardio-thoracic surgeon, Department of Cardiothoracic Surgery, St Antonius Hospital, Koekoekslaan 1, Nieuwegein, The Netherlands. (Email: a.yilmaz@antonius.net).

The first 20% of the full text of this article appears below.

We describe a minimally invasive surgical technique involving completely thoracoscopic bilateral pulmonary vein isolation and left atrial appendage exclusion for the treatment of atrial fibrillation.

In January and February 2007, we performed nine totally thoracoscopic bilateral pulmonary vein isolations and left atrial appendage exclusions. All patients (mean age 59.7 ± 8.8 years) had paroxysmal atrial fibrillation. Four patients had a history of repeated unsuccessful percutaneous catheter procedures. Magnetic resonance imaging of the pulmonary veins showed a left common trunk pulmonary vein in one patient whereas normal anatomy was observed in the other patients.

All patients were operated on under general anesthesia in the supine position with both arms slightly flexed along the body. A slight tilt of the operating table without repositioning of the patient was sufficient for . . . [Full Text of this Article]




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