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左心耳夹折返：从心耳到左肺静脉消融的病例分析

Left Atrial Appendage Clip Reentry: The Case for Ablation From the Appendage to Left Pulmonary Veins.

作者信息

Sharaf Omar M, Mirabal-Arroyo Javier E, Miles William M, Beaver Thomas M

机构信息

Division of Cardiovascular Surgery, University of Florida Health, Gainesville, Florida.

Division of Cardiology, University of Florida, Gainesville, Florida.

出版信息

Ann Thorac Surg Short Rep. 2023 Mar 25;1(3):415-417. doi: 10.1016/j.atssr.2023.03.001. eCollection 2023 Sep.

DOI:10.1016/j.atssr.2023.03.001
PMID:39790977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708435/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23e4/11708435/dd544f097527/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23e4/11708435/d816eafcd211/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23e4/11708435/861c9b5e6326/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23e4/11708435/dd544f097527/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23e4/11708435/d816eafcd211/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23e4/11708435/861c9b5e6326/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23e4/11708435/dd544f097527/gr3.jpg

相似文献

1
Left Atrial Appendage Clip Reentry: The Case for Ablation From the Appendage to Left Pulmonary Veins.左心耳夹折返：从心耳到左肺静脉消融的病例分析
Ann Thorac Surg Short Rep. 2023 Mar 25;1(3):415-417. doi: 10.1016/j.atssr.2023.03.001. eCollection 2023 Sep.
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本文引用的文献

1
Hybrid Convergent Procedure for the Treatment of Persistent and Long-Standing Persistent Atrial Fibrillation: Results of CONVERGE Clinical Trial.Hybrid 汇聚术式治疗持续性和长期持续性心房颤动：CONVERGE 临床试验结果。
Circ Arrhythm Electrophysiol. 2020 Dec;13(12):e009288. doi: 10.1161/CIRCEP.120.009288. Epub 2020 Nov 13.
2
Left atrial appendage: an underrecognized trigger site of atrial fibrillation.左心耳：房颤的一个未被充分认识的触发部位。
Circulation. 2010 Jul 13;122(2):109-18. doi: 10.1161/CIRCULATIONAHA.109.928903. Epub 2010 Jul 6.
3
A prospective, single-center clinical trial of a modified Cox maze procedure with bipolar radiofrequency ablation.
一项采用双极射频消融改良Cox迷宫手术的前瞻性单中心临床试验。
J Thorac Cardiovasc Surg. 2004 Oct;128(4):535-42. doi: 10.1016/j.jtcvs.2004.02.044.
4
The surgical treatment of atrial fibrillation. III. Development of a definitive surgical procedure.心房颤动的外科治疗。III. 确定性外科手术的发展
J Thorac Cardiovasc Surg. 1991 Apr;101(4):569-83.