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a Department of Cardiothoracic Surgery, Academic Medical Center, Heart Center, Amsterdam, The Netherlands
b Department of Cardiology, Academic Medical Center, Heart Center, Amsterdam, The Netherlands
Accepted for publication November 18, 2011.
* Address correspondence to Dr de Groot, Department of Cardiology, Academic Medical Center, PO Box 22660, 1100 DD Amsterdam, The Netherlands (Email: j.r.degroot{at}amc.uva.nl).
Thoracoscopic surgery for atrial fibrillation (AF) is an attractive and emerging treatment modality. However, when a bleeding occurs access for hemostasis is limited. Therefore, a sternotomy might be necessary to stop the bleeding and continue the operation. We report 2 patients with a periprocedural bleeding in whom sternotomy could be prevented by tamponading the bleeding, interrupting the operation and resuming 3 weeks later. Our cases show that sternotomies can be prevented and that there is a second chance for thoracoscopic surgery for AF.
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