Modified Mini-Maze for Atrial Fibrillation with Interruption of Inferior Vena Cava
DOI:
https://doi.org/10.1532/hsf.4163Keywords:
atrial fibrillation, inferior vena cava, radiofrequency ablationAbstract
A 57-year-old female with paroxysmal atrial fibrillation and an interrupted inferior vena cava (IVC) was referred to our hospital for radiofrequency ablation. Transseptal puncture and left atrium ablation failed through a standard IVC approach via the femoral vein due to intrahepatic interruption of IVC. We performed a modified mini-maze procedure in this patient through the left thoracic cavity under video-assisted thoracoscopic surgery (VATS). We can successfully complete pulmonary vein (PV) isolation, left atrium box isolation, cardiac ganglia ablation, Marshall ligament ablation, and coronary sinus epicardium ablation using this technique.
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