This case report demonstrates the feasibility of closed-chest thoracoscopic pulmonary vein isolation as a standalone surgical treatment for lone paroxysmal atrial fibrillation.
Supports feasibility of thoracoscopic PVI in lone paroxysmal AF; leaves open need for prospective trials before clinical adoption.
Surgical treatment of atrial fibrillation recently gained new popularity since the introduction of different energy sources for ablative therapy as an alternative to the original "cut-and-sew" techniques. However, most of the cases have been performed together with other cardiac surgical procedures and mainly through a standard median sternotomy approach. We report here the first European case of closed-chest thoracoscopic pulmonary vein isolation in a patient with lone paroxysmal atrial fibrillation.
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Bisleri et al. (2005) studied this question.
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