Totally thoracoscopic concomitant left atrial appendage closure and left ventricular epicardial lead implantation.
Fabrizio GuarraciniStefano BranzoliMassimiliano MariniStefano GuarraciniMichele Di MauroAntonio Maria CalafioreMark La MeirPublished in: Journal of cardiac surgery (2021)
Atrial fibrillation in patients with heart failure due to ventricular dyssynchrony needs decision-making on the rate and rhythm control strategies together with cardiac resynchronization therapy and antithrombotic prophylaxis. Transvenous biventricular pacing and percutaneous appendage closure in patients with heart failure and atrial fibrillation with high bleeding risk are valid therapeutic options but anatomical exclusion criteria could be present. Here, we report two patients who underwent successful totally thoracoscopic concomitant left appendage occlusion and epicardial left ventricular lead implantation.
Keyphrases
- cardiac resynchronization therapy
- atrial fibrillation
- left ventricular
- left atrial appendage
- heart failure
- catheter ablation
- left atrial
- oral anticoagulants
- direct oral anticoagulants
- hypertrophic cardiomyopathy
- decision making
- end stage renal disease
- mitral valve
- ejection fraction
- acute myocardial infarction
- aortic stenosis
- newly diagnosed
- percutaneous coronary intervention
- chronic kidney disease
- prognostic factors
- heart rate
- patient reported outcomes
- ultrasound guided
- aortic valve
- patient reported