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Ann Thorac Surg 2012;93:2051-2053. doi:10.1016/j.athoracsur.2011.11.053
© 2012 The Society of Thoracic Surgeons

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Antoine H.G. Driessen
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Case Reports

Second Chance for a Totally Thoracoscopic Video-Assisted Pulmonary Vein Isolation for Atrial Fibrillation

Antoine H.G. Driessen, MDa, Sébastien P.J. Krul, MDb, Bas A.J.M. de Mol, MD, PhDa, Joris R. de Groot, MD, PhDb,*

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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N. Ad, R. M. Suri, J. S. Gammie, S. Sheng, S. M. O'Brien, and L. Henry
Surgical ablation of atrial fibrillation trends and outcomes in North America
J. Thorac. Cardiovasc. Surg., November 1, 2012; 144(5): 1051 - 1060.
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