Surgical correction of atrial septal defect and atrial fibrillation in a 66-year-old patient

1 66-year-old male patient with secondary atrial septal defect (22 mm), paroxysmal atrial fibrillation and flutter, right heart overload, tricuspid regurgitation, and ischemic heart disease (occlusion of the right coronary artery).

Right-sided cryoablation of the right atrium, ASD closure with xenopericardial patch, de Vega tricuspid annuloplasty, left atrial appendage ligation, and autovenous coronary artery bypass grafting to the right coronary artery.

Restoration of sinus rhythm and clinical improvement at 6 months.