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Europace 2005 7(2):145-148; doi:10.1016/j.eupc.2004.12.005
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© 2005 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.

NEW TECHNIQUE

Thoracoscopic epicardial pulmonary vein ablation for lone paroxysmal atrial fibrillation

Gianluigi Bisleria,b,*, Aldo Manzatoc, Michael Argenzianob, Deon W. Vigilanceb and Claudio Munerettoa

aDivision of Cardiac Surgery, University of Brescia Medical School Brescia, Italy; bDivision of Cardiothoracic Surgery, College of Physicians and Surgeons, Columbia University New York, NY, USA; cSection of Cardiothoracic Anaesthesia, Spedali Civili di Brescia Brescia, Italy

Abstract

Surgical treatment of atrial fibrillation recently gained new popularity since the introduction of different energy sources for ablative therapy as an alternative to the original "cut-and-sew" techniques. However, most of the cases have been performed together with other cardiac surgical procedures and mainly through a standard median sternotomy approach. We report here the first European case of closed-chest thoracoscopic pulmonary vein isolation in a patient with lone paroxysmal atrial fibrillation.

Key Words: atrial fibrillation, epicardial ablation, thoracoscopy, closed-chest surgery

*Corresponding author. Division of Cardiac Surgery, University of Bresica Medical School, UDA Cardiochirurgia – Spedali Civili, P.le Spedali Civili, 1, 25123 Brescia, Italy. Tel.: +39 030 3996401; fax: +39 030 3996096. E-mail address: gianluigi_bisleri{at}katamail.com (G. Bisleri).


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