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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Persistent Atrial Fibrillation Related to a Congenital Pericardial Defect and Left Atrial Appendage Herniation
Heemoon Lee1, Dong Seop Jeong1, In Sook Kim1
1Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine.
Insights
Congenital pericardial defects (CPDs) are rare heart anomalies. This case highlights a CPD with left atrial appendage herniation found during treatment for persistent atrial fibrillation (AF).
Area of Science:
- Cardiology
- Thoracic Surgery
- Medical Imaging
Background:
- Congenital pericardial defects (CPDs) are uncommon birth anomalies.
- CPDs are typically asymptomatic and found incidentally.
- Left atrial appendage (LAA) herniation can occur with certain pericardial defects.
Abstract:
Congenital pericardial defects (CPDs) are infrequent anomalies that are usually asymptomatic and are discovered incidentally during unrelated interventions. Here we report the case of a CPD with herniation of an enlarged left atrial appendage identified during total thoracoscopic ablation (TTA) for persistent atrial fibrillation (AF). The persistent AF was successfully treated with a hybrid procedure, in which TTA was followed by an electrophysiological study.
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