First experience of treating patients with atrial fibrillation using thoracoscopic isolation with left atrial appendage excision in the North-Western State Medical University named after I.I. Mechnikov

D. A. Yakovlev, Andrey I. Lenkin, Vera V. Stepanova, V. A. Marinin, Nikolai V. Petrov, Vladislav K. Verendeev
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Abstract

The given article describes the first experience of a thoracoscopic isolation of pulmonary veins and left atrial appendage excision in the North-Western State Medical University named after I.I. Mechnikov. The clinical case features a woman with a long history of paroxysmal atrial fibrillation, severe left atrium dilation, failure in a pace control drug therapy and no effect of radiofrequency catheter isolation of pulmonary veins. Additionally, there outlined the advantages and the significance of employing the method of thoracoscopic ablation in patients with symptomatic paroxysmal and long-term persistent atrial fibrillation, — in case if antiarrythmic drugs and radiofrequency catheter ablation proved ineffective, as well as in patients with a long-term persistent atrial fibrillation along with a severe left atrium dilation.
以 I.I. Mechnikov 命名的西北国立医科大学利用胸腔镜隔离术和左心房阑尾切除术治疗心房颤动患者的首次经验
本文介绍了以 I.I. Mechnikov 命名的西北国立医科大学首次开展胸腔镜肺静脉隔离术和左心房阑尾切除术的经验。该临床病例的特点是,一名女性长期患有阵发性心房颤动,左心房严重扩张,步伐控制药物治疗失败,而肺静脉射频导管隔离术效果不佳。此外,该报告还概述了对有症状的阵发性和长期持续性心房颤动患者采用胸腔镜消融方法的优势和意义--在抗心律失常药物和射频导管消融无效的情况下,以及对长期持续性心房颤动并伴有严重左心房扩张的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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