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Ann Thorac Surg 2004;78:e24-e25
© 2004 The Society of Thoracic Surgeons

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Case report

First robotic endoscopic epicardial isolation of the pulmonary veins with microwave energy in a patient in chronic atrial fibrillation

^a Division of Cardiac Surgery, Lenox Hill Hospital, New York, New York, USA
^b Division of Electrophysiology, Lenox Hill Hospital, New York, New York, USA

Accepted for publication November 20, 2003.

^* Address reprint requests to Dr Loulmet, Lenox Hill Hospital, Division of Cardiac Surgery, New York, NY, USA 10021
e-mail: loulmetd{at}aol.com

The pulmonary veins have been demonstrated to play an important role in generating atrial fibrillation. We report the first successful endoscopic epicardial isolation of the pulmonary veins in a patient with permanent atrial fibrillation, along with a 1-year follow-up. The procedure consisted of making a conduction block around the pulmonary veins with a flexible microwave energy delivery probe. The probe was placed endoscopically on the left atrial epicardium with the aid of robotic instruments.

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