Combined Minimally Invasive Pulmonary Vein Isolation, Left Atrial Appendage Excision and Cardiac Resynchronization Therapy for Heart Failure: Case Report

Authors

  • Mariano E. Brizzio
  • Jose L. Navia
  • Fernando A. Atik
  • David Martin
  • A. Marc Gillinov
  • Gonzalo V. Gonzalez-Stawinski
  • Bruce Wilkoff
  • Randall C. Starling

DOI:

https://doi.org/10.1532/HSF98.20051114

Abstract

A 76-year-old male with ischemic cardiomyopathy presented with heart failure symptoms in the absence of angina. Several hospitalizations were required due to heart failure exacerbation and paroxysmal atrial fibrillation. Electrocardiography and tissue synchronization imaging confirmed ventricular dyssynchrony, requiring biventricular pacing. After a failed attempt of percutaneous placement of the left ventricular lead, a novel minimally invasive approach was indicated. It consisted of left ventricular epicardial lead placement, microwave pulmonary vein isolation, and left atrial appendage excision through bilateral minithoracotomies. The postoperative recovery was unremarkable, with reestablishment of the ventricular synchrony and regular rhythm.

References

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Published

2005-07-07

How to Cite

Brizzio, M. E., Navia, J. L., Atik, F. A., Martin, D., Gillinov, A. M., Gonzalez-Stawinski, G. V., Wilkoff, B., & Starling, R. C. (2005). Combined Minimally Invasive Pulmonary Vein Isolation, Left Atrial Appendage Excision and Cardiac Resynchronization Therapy for Heart Failure: Case Report. The Heart Surgery Forum, 8(4), E249-E252. https://doi.org/10.1532/HSF98.20051114

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