Atrial septal defect with atrial fibrillation treated by one-stop radiofrequency ablation and transthoracic closure under total endoscopy: A case report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

JIA Jie ¹ ,  QIAN Yongjun ²

1. Department of Cardiothoracic and Vascular Surgery, Mianyang Third People's Hospital, Sichuan Mental Health Center, Mianyang, 621000, Sichuan, P. R. China;
2. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;

Corresponding author：

QIAN Yongjun, Email: yongjunqian@sina.com

Keywords：

Atrial fibrillation; atrial septal defect; thoracoscopy; radiofrequency ablation; left atrial appendage clipping; case report

DOI：

10.7507/1007-4848.202210017

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Surgical treatment of atrial septal defect (ASD) mainly includes occlusion or repair under cardiopulmonary bypass. Surgical treatment of atrial fibrillation includes transcatheter radiofrequency ablation or Maze surgery under cardiopulmonary bypass. There are many treatments for ASD patients combined with atrial fibrillation, but each has its own advantages and disadvantages. We reported an ASD patient combined with atrial fibrillation treated by totally endoscopic "one-stop" radiofrequency ablation and simultaneous transthoracic ASD occlusion of atrial fibrillation, with good postoperative results.

Citation： JIA Jie, QIAN Yongjun. Atrial septal defect with atrial fibrillation treated by one-stop radiofrequency ablation and transthoracic closure under total endoscopy: A case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(5): 784-786. doi: 10.7507/1007-4848.202210017 Copy

1.	Yap SC. Atrial fibrillation and stroke after atrial septal defect closure. Is earlier closure warranted? Heart, 2015, 101(9): 661-662.
2.	Del Buono MG, Sanna T. Atrial fibrillation: Focus on monitoring strategies after cryptogenic stroke. Minerva Cardiol Angiol, 2022, 70(5): 606-615.
3.	Wu SJ, Fan YF, Chien CY. Surgical or interventional treatment for adult patients with atrial septal defect and atrial fibrillation: A systemic review and meta-analysis. Asian J Surg, 2022, 45(1): 62-67.
4.	Castellá M, Kotecha D, van Laar C, et al. Thoracoscopic vs. catheter ablation for atrial fibrillation: Long-term follow-up of the FAST randomized trial. Europace, 2019, 21(5): 746-753.
5.	Bis J, Gościńska-Bis K, Gołba KS, et al. Permanent pacemaker implantation after cardiac surgery: Optimization of the decision making process. J Thorac Cardiovasc Surg, 2021, 162(3): 816-824.
6.	Rosati F, de Maat GE, Valente MAE, et al. Surgical clip closure of the left atrial appendage. J Cardiovasc Electrophysiol, 2021, 32(10): 2865-2872.

1. Yap SC. Atrial fibrillation and stroke after atrial septal defect closure. Is earlier closure warranted? Heart, 2015, 101(9): 661-662.
2. Del Buono MG, Sanna T. Atrial fibrillation: Focus on monitoring strategies after cryptogenic stroke. Minerva Cardiol Angiol, 2022, 70(5): 606-615.
3. Wu SJ, Fan YF, Chien CY. Surgical or interventional treatment for adult patients with atrial septal defect and atrial fibrillation: A systemic review and meta-analysis. Asian J Surg, 2022, 45(1): 62-67.
4. Castellá M, Kotecha D, van Laar C, et al. Thoracoscopic vs. catheter ablation for atrial fibrillation: Long-term follow-up of the FAST randomized trial. Europace, 2019, 21(5): 746-753.
5. Bis J, Gościńska-Bis K, Gołba KS, et al. Permanent pacemaker implantation after cardiac surgery: Optimization of the decision making process. J Thorac Cardiovasc Surg, 2021, 162(3): 816-824.
6. Rosati F, de Maat GE, Valente MAE, et al. Surgical clip closure of the left atrial appendage. J Cardiovasc Electrophysiol, 2021, 32(10): 2865-2872.

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Atrial septal defect with atrial fibrillation treated by one-stop radiofrequency ablation and transthoracic closure under total endoscopy: A case report

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