Sharaf Omar M, Mirabal-Arroyo Javier E, Miles William M, Beaver Thomas M
Division of Cardiovascular Surgery, University of Florida Health, Gainesville, Florida.
Division of Cardiology, University of Florida, Gainesville, Florida.
Ann Thorac Surg Short Rep. 2023 Mar 25;1(3):415-417. doi: 10.1016/j.atssr.2023.03.001. eCollection 2023 Sep.
Convergent hybrid atrial fibrillation ablation combines epicardial posterior left atrial ablation with catheter pulmonary vein isolation. Concomitant left atrial appendage AtriClip placement has recently been included to mitigate stroke risk. We describe a 72-year-old woman with long-standing persistent atrial fibrillation in whom atrial flutter with reentry encircling the AtriClip developed 18 months after a successful convergent procedure.
汇聚式杂交房颤消融术将左心房后壁的心外膜消融与导管肺静脉隔离术相结合。最近还纳入了同期左心耳AtriClip植入术以降低中风风险。我们描述了一名72岁患有长期持续性房颤的女性,在成功进行汇聚式手术后18个月出现了围绕AtriClip折返的房扑。