Combined Ablation and Exclusion of the Left Atrial Appendage in a Pediatric Patient: A Minimally Invasive Simplified Approach

被引：5
|
作者：
Perez-Caballero-Martinez, Ramon
Pita-Fernandez, Ana
Gonzalez-Lopez, Maria-Teresa
De-Agustin-Asensio, Juan-Carlos
Gil-Jaurena, Juan-Miguel
机构：
[1] Gregorio Maranon Hosp, Dept Pediat Cardiac Surg, Madrid 28009, Spain
[2] Gregorio Maranon Hosp, Dept Gen Pediat Surg, Madrid 28009, Spain
来源：
ANNALS OF THORACIC SURGERY | 2016年 / 101卷 / 06期
关键词：
TACHYCARDIA; DEVICE;
D O I：
10.1016/j.athoracsur.2015.08.056
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We present the first reported case of totally video-assisted thoracoscopic surgery for combined ablation and external exclusion without appendectomy of the left atrial appendage. We encourage the use of video-assisted thoracoscopic surgery for a combined procedure of epicardial radiofrequency ablation and external exclusion without appendectomy to achieve a safe and complete electrical isolation of the left atrial appendage in children with focal atrial tachycardia. In our opinion, the external exclusion of the appendage has several advantages: it presents minimal risk of bleeding (especially in the pediatric population), and the clip can be retrieved if the circumflex artery is distorted. (C) 2016 by The Society of Thoracic Surgeons
引用
收藏
页码：2379 / 2382
页数：5
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