Department of Cardiology, Maastricht University Medical Center, Maastricht, the Netherlands.
Department of Cardiothoracic Surgery, Maastricht University Medical Center, Maastricht, the Netherlands.
Ann Thorac Surg. 2020 Aug;110(2):e119-e121. doi: 10.1016/j.athoracsur.2019.12.039. Epub 2020 Feb 4.
To close the left atrial appendage during thoracoscopic ablation of atrial fibrillation, the use of a clipping device has proven to be an elegant and efficacious technique. Although very rare, adequate ostial appendage clipping can provoke coronary artery kinking and thus lead to cardiac ischemia. We describe a minimally invasive surgical technique to deal with this potentially serious complication.
在胸腔镜消融治疗心房颤动时，闭合左心耳，夹闭装置已被证明是一种优雅且有效的技术。尽管非常罕见，但充分的心耳开口夹闭可引起冠状动脉扭曲，从而导致心肌缺血。我们描述了一种微创外科技术来处理这种潜在的严重并发症。
