Abstract：
BACKGROUND:Atrial fibrillation (AF) is the most common arrhythmia, having a strong impact on long-term stroke and heart failure prevalence and mortality. Nowadays, rapid development in the field of minimising the invasiveness of surgical ablation of AF can be observed. AIM:To report on the feasibility and early results of the first Polish experience with a novel technique of minimally invasive video-assisted beating heart bilateral surgical ablation for lone paroxysmal AF using irrigated bipolar radiofrequency technique. METHODS:Between February and December 2006, 6 patients with highly symptomatic paroxysmal AF, resistant to pharmacological treatment, underwent video-assisted beating heart bilateral pulmonary vein isolation using irrigated bipolar radiofrequency combined with vein of Marshall dissection and left atrial appendage closure. In 2 patients at least 2 unsuccessful percutaenous ablations had previously been performed. RESULTS:There were no complications. Ablation time was on average 88+/-12.1 seconds. At least one recurrence of AF was observed in 4 patients in the early postoperative period; in 3 of them an electrical cardioversion was performed. All patients were discharged home in stable sinus rhythm. Three patients have exceeded 3 months' observation; one has reached 6 months of observation. All are in stable sinus rhythm and the follow-up course is uneventful. CONCLUSIONS:Minimally invasive video-assisted beating heart bilateral surgical ablation for lone paroxysmal AF using irrigated bipolar radiofrequency is effective and safe. These promising results have to be confirmed by larger studies.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Suwalski P,Suwalski G,Wilimski R,Kochanowski J,Scisło P,Gaca H,Popiel Z,Sledź M,Smolarska-Switaj J,Suwalski Ksubject
Has Abstractpub_date
2007-04-01 00:00:00pages
370-4; discussion 375-6issue
4eissn
0022-9032issn
1897-4279pii
8096journal_volume
65pub_type
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