Badhwar Nitish, Al-Dosari Ghannam, Dukes Jonathan, Lee Randall J
Division of Cardiology, Section of Cardiac Electrophysiology, University of California, San Francisco, San Francisco, CA.
Division of Cardiovascular Surgery, University of California, San Francisco, San Francisco, CA.
J Atr Fibrillation. 2018 Jun 30;11(1):2014. doi: 10.4022/jafib.2014. eCollection 2018 Jun-Jul.
Two patients with long-standing atrial fibrillation (AF) refractory to medical management and with prior pulmonary vein isolation underwent a new hybrid epicardial/endocardial subxyphoid approach for AF ablation and left atrial appendage (LAA) ligation. Pulmonary vein and LA posterior wall isolation, as well as LAA exclusion were achieved in both patients. There were no procedural complications. Both patients remain in sinus rhythm. Both patients are off antiarrhythmic medications.
两名长期患有心房颤动（AF）且药物治疗无效、既往接受过肺静脉隔离术的患者，接受了一种新的经剑突下心外膜/心内膜联合入路进行房颤消融和左心耳（LAA）结扎。两名患者均实现了肺静脉和左心房后壁隔离以及左心耳排除。术中无并发症。两名患者均维持窦性心律。两名患者均停用了抗心律失常药物。
