Epicardial radiofrequency ablation for chronic atrial fibrillation undergoing simultaneous on-pump beating coronary artery bypass grafting |
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Authors: | Yoichi Kikuchi Taku Sakurada Masato Suzuki Tomoyasu Hirano and Katsuyuki Kusajima |
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Institution: | (1) Section of Cardiothoracic Surgery, National Obihiro Hospital, Nishi-18, Kita-2, Obihiro, 080-0048 Hokkaido, Japan |
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Abstract: | Off-pump coronary artery bypass grafting has become an attractive surgical alternative for myocar-dial revascularization because
of the advantage of myocardial protection and other benefits of patients. However, it is still regarded as a controversial
treatment for the coronary artery disease accompanied by atrial fibrillation (AF). A significant number of patients in need
of coronary revascularization have chronic AF. Although the Cox-Maze III procedure is the gold standard for the surgical treatment
of AF, few of these patients undergo AF operations at the time of their coronary bypass grafting. We report herein a case
of the pulmonary vein isolation to eliminate the AF by means of epicardial radiofrequency ablation combined with 2 vessels
coronary artery bypass grafting on the beating heart with the aid of cardiopulmonary bypass. |
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Keywords: | radiofrequency ablation Maze procedure atrial fibrillation |
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