Surgical treatment of lone atrial fibrillation in an awake patient
Surgical treatment of atrial fibrillation recently gained new popularity since the introduction of different energy sources and the development of minimally invasive techniques as an alternative to the original "cut-and-sew" technique. However, closed-chest ablation procedures are not feas...
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| Veröffentlicht in: | The Heart surgery forum 2005, Vol.8 (3), p.E158-E160 |
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| container_title | The Heart surgery forum |
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| creator | Bisleri, Gianluigi Bottio, Tomaso Manzato, Aldo Muneretto, Claudio |
| description | Surgical treatment of atrial fibrillation recently gained new popularity since the introduction of different energy sources and the development of minimally invasive techniques as an alternative to the original "cut-and-sew" technique. However, closed-chest ablation procedures are not feasible in presence of pericardial or pleural adhesions. To our knowledge, this is the first report of surgical treatment of atrial fibrillation in a conscious patient by means of a high epidural anesthesia. Since evidence of fibrothorax was found, a conscious patient suffering from lone atrial fibrillation underwent a beating-heart pulmonary veins isolation with a microwave device through a standard sternotomic approach. At 6 months follow-up, the patient is in stable sinus rhythm, without any palpitation nor electrocardiographic evidence (Holter monitoring) of recurrent atrial fibrillation. |
| doi_str_mv | 10.1532/HSF98.20051006 |
| format | Article |
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| fulltext | fulltext |
| identifier | ISSN: 1098-3511 |
| ispartof | The Heart surgery forum, 2005, Vol.8 (3), p.E158-E160 |
| issn | 1098-3511 1522-6662 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Anesthesia, Epidural Atrial Fibrillation - complications Atrial Fibrillation - physiopathology Atrial Fibrillation - surgery Catheter Ablation - instrumentation Equipment Design Feasibility Studies Humans Male Microwaves - therapeutic use Myocardial Contraction Pericardium Pleural Diseases - complications Pulmonary Veins - surgery Tissue Adhesions Treatment Outcome Wakefulness |
| title | Surgical treatment of lone atrial fibrillation in an awake patient |
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