PMID- 38056950 OWN - NLM STAT- MEDLINE DCOM- 20231211 LR - 20231211 IS - 0021-5252 (Print) IS - 0021-5252 (Linking) VI - 76 IP - 11 DP - 2023 Oct TI - [Surgical Left Atrial Ablation Through the Left Atrial Appendage During Aortic Valve Replacement]. PG - 928-932 AB - This is a 2-case report of concomitant left atrial( LA) surgical ablation through the left atrial appendage( LAA) for atrial fibrillation( AF) during aortic valve replacement( AVR). Case 1, a 74-year-old man, and Case 2, an 85-years-old woman, were presented for AVR and AF. Under the cardio-pulmonary bypass, right and left pulmonary vein isolations( PVIs) were performed with radiofrequency( RF) ablation devices. Through the opened LAA, an RF lesion was placed to connect the bilateral PVIs and the LAA, and another RF line was placed toward the mitral annulus. A right atrial( RA) isthmus ablation was also performed through a RA incision. Postoperatively, sinus rhythm and both RA and LA contraction were obtained, and have been maintained for 7.5 and 5 years without classⅠ/Ⅲ antiarrhythmic drugs in Case 1 and 2, respectively. This procedure is considered to be effective and safe, although further study is needed. FAU - Doi, Kazuyoshi AU - Doi K AD - Department of Cardiovascular Surgery, Yanagawa Hospital, Yanagawa, Japan. FAU - Itoh, Manabu AU - Itoh M FAU - Mukae, Yosuke AU - Mukae Y FAU - Noguchi, Ryo AU - Noguchi R FAU - Hara, Akemi AU - Hara A FAU - Esaki, Saori AU - Esaki S FAU - Hirase, Ena AU - Hirase E FAU - Yamasaki, Riku AU - Yamasaki R FAU - Ohsawara, Reina AU - Ohsawara R FAU - Ogata, Takanori AU - Ogata T FAU - Yoshioka, Rei AU - Yoshioka R FAU - Matsumoto, Noriaki AU - Matsumoto N LA - jpn PT - Case Reports PT - English Abstract PT - Journal Article PL - Japan TA - Kyobu Geka JT - Kyobu geka. The Japanese journal of thoracic surgery JID - 0413533 SB - IM MH - Male MH - Female MH - Humans MH - Aged, 80 and over MH - Aged MH - *Atrial Appendage/diagnostic imaging/surgery MH - Aortic Valve/surgery MH - Treatment Outcome MH - Heart Atria/surgery MH - *Atrial Fibrillation/complications/surgery MH - *Catheter Ablation/adverse effects EDAT- 2023/12/07 00:42 MHDA- 2023/12/11 12:42 CRDT- 2023/12/06 20:53 PHST- 2023/12/11 12:42 [medline] PHST- 2023/12/07 00:42 [pubmed] PHST- 2023/12/06 20:53 [entrez] PST - ppublish SO - Kyobu Geka. 2023 Oct;76(11):928-932.