Key result
Totally thoracoscopic ablation successfully maintained sinus rhythm at 8-month follow-up in a patient with persistent atrial fibrillation following atrial septal defect device closure.
Case Report (n=1)
No
Totally thoracoscopic ablation combined with prior ASD device closure can be an effective, less invasive alternative to open-heart surgical ASD repair and the Cox maze operation for patients with ASD and atrial fibrillation.
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May support thoracoscopic ablation post-ASD closure in persistent AF; leaves open need for prospective validation before wider use.
Atrial septal defect (ASD) is one of the most common congenital heart defects in adults. Surgical repair is the most common treatment approach, but device closure has recently become widely performed in accordance with the trend toward less invasive surgical approaches. Although surgery is recommended when ASD is accompanied by atrial fibrillation, this study reports a case in which a complete cure was achieved by closure of a device and totally thoracoscopic ablation.
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Kim et al. (2014) conducted a case report in Atrial fibrillation after Atrial Septal Defect device closure (n=1). Totally thoracoscopic ablation was evaluated on Maintenance of sinus rhythm. Totally thoracoscopic ablation successfully maintained sinus rhythm at 8-month follow-up in a patient with persistent atrial fibrillation following atrial septal defect device closure.
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