Cardiac Surgery, Sana Heart Center Cottbus, Cottbus, Germany
Cardiac Surgery, Institut Mutualiste Montsouris, Paris, France
Multimed Man Cardiothorac Surg. 2020 Dec 23;2020. doi: 10.1510/mmcts.2020.077.
Epicardial Convergent ablation followed by endocardial touch-up and an additional ablation may be superior to catheter-based interventions in patients with persistent atrial fibrillation. We sought to extend the epicardial lesion set by changing the standard subxiphoid thoracotomy to a left-lateral, totally thoracoscopic approach. This tutorial depicts a closed-chest, beating-heart procedure, including ablation of the left atrial posterior wall, the left atrial dome, and the left pulmonary veins. The left atrial appendage is closed using an epicardial occlusion device.
心外膜汇聚消融后行心内膜补点消融和附加消融可能优于导管介入治疗持续性心房颤动。我们试图通过改变标准剑突下开胸术为左侧全胸腔镜入路来扩大心外膜消融范围。本教程描述了一种闭合心脏、心脏不停跳的手术方法，包括消融左心房后壁、左心房顶部和左肺静脉。使用心外膜闭塞装置封闭左心耳。
