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Ann Thorac Surg 2003;75:1979-1981
© 2003 The Society of Thoracic Surgeons

How to do it

A tailored anatomical approach to prevent complications during left atrial ablation

Stefano Benussi, MD, PhDa*, Simona Nascimbene, MDa, Simone Calvi, MDa, Ottavio Alfieri, MDa

a Division of Cardiac Surgery, S Raffaele University Hospital, Milan, Italy

Accepted for publication November 25, 2002.

* Address reprint requests to Dr Benussi, Division of Cardiac Surgery, S Raffaele University Hospital, via Olgettina 60, 20132 Milan, Italy
e-mail: stefano.benussi{at}hsr.it

Atrial fibrillation ablation surgery has grown very popular in recent years. Modern techniques involve creation of linear scars on the left atrial wall using different ablation devices. That raises the concern about new major surgical complications that can be caused by the ablation procedure. Postablation coronary obstruction and esophageal injury have been described. We report our present strategy for left atrial ablation in which the lesion set is tailored to the specific coronary anatomy. Safeguards to prevent esophageal and bronchial injury are also outlined.




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