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Ann Thorac Surg 2007;83:1870-1872
© 2007 The Society of Thoracic Surgeons

Case Reports

Thoracoscopic Radiofrequency Pulmonary Vein Isolation and Atrial Appendage Occlusion

John Puskas, MDa,*, Edward Lin, DOb, Dianne Bailey, PA-Ca, Robert Guyton, MDa

a Emory Center for Atrial Fibrillation, Emory Crawford Long Hospital, Emory Division of Cardiothoracic Surgery, Emory Endosurgery Unit, Atlanta, Georgia
b Department of Surgery, Emory University, Atlanta, Georgia

Accepted for publication December 11, 2006.

* Address correspondence to Dr Puskas, Emory Center for Atrial Fibrillation, 550 Peachtree St, 6th Floor Medical Office Tower, Emory Crawford Long Hospital, Atlanta, GA 30308 (Email: john_puskas{at}emoryhealthcare.org).

A 46-year-old woman with a 7-year history of profoundly symptomatic daily paroxysmal atrial fibrillation had undergone two percutaneous catheter ablations and multiple medication trials. With informed consent, bilateral pulmonary vein isolation and left atrial appendage occlusion as well as ablation of ganglionated plexi were performed by a totally thoracoscopic technique employing a bipolar radiofrequency device. She was discharged home on postoperative day 3 and had one brief episode of atrial fibrillation 1 week later, but has had no further atrial fibrillation for more than 6 months since the procedure.






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