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. 2020 Apr 1;57(4):803-805.
doi: 10.1093/ejcts/ezz257.

A minimally invasive all-in-one approach for patients with left anterior descending artery disease and atrial fibrillation

Bart Maesen  1 , Mark La Meir  1 , Justin Luermans  2 , Patrique Segers  1
Affiliations

A minimally invasive all-in-one approach for patients with left anterior descending artery disease and atrial fibrillation

Bart Maesen et al. Eur J Cardiothorac Surg. .

Abstract

The efficacy and safety of thoracoscopic atrial fibrillation (AF) ablation and minimally invasive direct coronary artery bypass grafting have been previously reported. Herein, we describe the successful combination of both procedures in a high-risk patient with symptomatic drug-refractory paroxysmal AF and a proximal left main stenosis. This innovative procedure offers patients an all-in-one, truly minimally invasive approach to treat AF and left anterior descending artery disease. Based on our initial experience, the procedure is safe and feasible.

Keywords: Ablation; Atrial fibrillation; Coronary artery bypass grafting; Minimally invasive; Minimally invasive direct coronary artery bypass grafting.

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Figures

Figure 1:
Figure 1:
(A) Computed tomography scan showing a calcified aorta, and coeliac and superior mesenteric arteries. (B) Coronary angiogram showing left main stenosis.
Figure 2:
Figure 2:
(A) Antral isolation of the right pulmonary veins using a bipolar RF clamp. (B) Obtained ablation lesion. (C) Clipping of distal LITA. (D) Off-pump LITA-LAD anastomosis. LITA: left internal thoracic artery; LAD: left anterior descending artery; RF: radiofrequency; RSPV: right superior pulmonary vein.
See this image and copyright information in PMC

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