Appendage Resection and Pulmonary Vein Isolation on Minimally Invasive Coronary Artery Bypass Graft

Minimally invasive coronary artery bypass grafting is becoming standardized; however, its small incision may result in a limited field of view. Challenges arise in performing left atrial appendage resection and pulmonary vein isolation from the same incision, whereas safety and feasibility are not well documented. Our report demonstrates safe achievement of left atrial appendage resection and pulmonary vein isolation from the same minimally invasive coronary artery bypass grafting wound site with a good surgical field of view. In addition, we present an intraoperative positional change technique for right-sided pulmonary vein isolation.