Electrophysiologically Guided Thoracoscopic Surgery for Advanced Atrial Fibrillation

Surgery for atrial fibrillation.

Atrial fibrillation is the most common sustained cardiac arrhythmia and is associated with significant morbidity and mortality. Surgical treatment is the most effective means of curing atrial fibrillation. The classic Cox maze procedure eliminates atrial fibrillation in more than 90% of patients and has remained the gold standard in surgery for atrial fibrillation. Despite being highly effectiv...

Surgery for Atrial Fibrillation

Permanent atrial fibrillation ablation surgery in patients with advanced age

BACKGROUND Even if permanent atrial fibrillation (pAF) is a frequent concomitant problem in patients undergoing open heart surgery and particularly in those with advanced age, data of pAF ablation surgery in older aged patients are scarce. This study was performed to assess early and late results of combined open heart surgery and pAF ablation procedures in patients with advanced aged, compared...

A Totally Thoracoscopic Ablation for Persistent Atrial Fibrillation

We report the case of a 72-year-old female with persistent atrial fibrillation who underwent a totally thoracoscopic ablation. A successful normal sinus conversion was achieved.

Catheter Ablation of Nonparoxysmal Atrial Fibrillation Using Electrophysiologically Guided Substrate Modification During Sinus Rhythm After Pulmonary Vein Isolation.

BACKGROUND The high incidence of postprocedural atrial tachycardia reduces the absolute arrhythmia-free success rate of extensive ablation strategies to treat nonparoxysmal atrial fibrillation (NPAF). We hypothesized that a strategy of targeting low-voltage zones and sites with abnormal electrograms during sinus rhythm (SR-AEs) in the left atrium after circumferential pulmonary vein isolation a...