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Ann Thorac Surg 1998;66:1401-1403
© 1998 The Society of Thoracic Surgeons


Case Reports

Intraoperative map-guided operation for chronic atrial fibrillation

Atsushi Harada, MDa, Tadahiko Sugimoto, MDa, Tetsuo Asano, MDa, Kenichi Yamada, MDa

a Department of Thoracic and Cardiovascular Surgery, Nippon Medical School, Chiba Hokuso Hospital, Chiba City, Japan

Accepted for publication April 19, 1998.

Address reprint requests to Dr Harada, Department of Cardiovascular Surgery, Ebina General Hospital, 1519 Kawaraguchi Ebina-city, Kanagawa, Japan

Intraoperative map-guided cryoablation for chronic atrial fibrillation and coronary artery bypass grafting were simultaneously performed in a 55-year-old man. Computerized atrial mapping revealed that regular and repetitive electrical discharges originated in the left atrial appendage. Without opening the left atrium, we successfully ablated atrial fibrillation with cryoablation on the epicardium of the left atrial appendage. Thus, intraoperative mapping should facilitate operations for atrial fibrillation.




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