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Ann Thorac Surg 2007;84:1412-1413
© 2007 The Society of Thoracic Surgeons

How To Do It

Lateral Placement of Bipolar Clamp Facilitates Pulmonary Vein Isolation

Eric W. Schneeberger, MD*, Robert M. Osterday, BS, PA-C

Department of Cardiothoracic Surgery, University of Cincinnati, Cincinnati, Ohio

Accepted for publication March 7, 2007.

* Address correspondence to Dr Schneeberger, Department of Cardiothoracic Surgery, ML 0558, University of Cincinnati, Albert B Sabin Way, Cincinnati, OH 45267 (Email: william.schneeberger{at}uc.edu).

The surgical management of atrial fibrillation is becoming more commonplace with the procedure of pulmonary vein isolation forming the cornerstone of the treatment of atrial fibrillation. In this article a technique is described to introduce a dry bipolar radiofrequency clamp into the chest through a lateral port sized incision to safely effect pulmonary vein isolation in patients with low ejection fractions undergoing a concomitant mini-maze procedure. Confirmation of the transmurality and effectiveness of the lines of ablation is shown by the demonstration of bidirectional block to and from the pulmonary veins.






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