Surgical treatment of lone atrial fibrillation in an awake patient |
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Authors: | Bisleri Gianluigi Bottio Tomaso Manzato Aldo Muneretto Claudio |
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Affiliation: | Division of Cardiac Surgery, University of Brescia Medical School, Brescia, Italy. gianluigi_bisleri@katamail.com |
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Abstract: | 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. |
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