A Completely Endoscopic Approach to Microwave Ablation for Atrial Fibrillation

  • Adam E. Saltman
  • Lawrence S. Rosenthal
  • Nicola A. Francalancia
  • Stephen J. Lahey


Background: Surgical therapy for atrial fibrillation is extremely effective but not widely applied. Minimally invasive methods may be more attractive. We report a case of complete pulmonary vein isolation performed entirely through a thoracoscopic approach.

Methods: A 74-year-old woman with paroxysmal atrial fibrillation underwent a microwave ablation procedure using 3 access ports in the right pleural space and 3 access ports through the left pleural space.

Results: After the 3-hour procedure the patient was extubated in the operating room and discharged home in sinus rhythm on the second postoperative day.

Conclusions: Endoscopic pulmonary vein isolation is a safe and effective procedure that may be applied to a wide variety of patients.


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How to Cite
Saltman, A. E., Rosenthal, L. S., Francalancia, N. A., & Lahey, S. J. (2005). A Completely Endoscopic Approach to Microwave Ablation for Atrial Fibrillation. The Heart Surgery Forum, 6(3), E38-E41. https://doi.org/10.1532/hsf.956