Left atrial epicardial ablation associated to a Bentall procedure.
Aortic coarctation is quite a common congenital disease and very often associated with other cardiac malformations. A 21-year-old patient presented to our observation with aortic coarctation, aortic valve regurgitation on a dilated aortic root and chronic atrial fibrillation. We performed a two-step operation: the aortic coarctation was treated first and 1 month later a Bentall procedure associated to an epicardial ablation was performed. Since most of the ablation was performed before aortic cross clamping, the ischemic time was only slightly increased. At 3 months follow-up the patient is still on normal sinus rhythm.
Manasse
E
E
Cardiochirurgia, Istituto Clinico Humanitas, Via Manzoni, Rozzano/Villa Torri (BO), Milan, Italy. eric.manasse@humanitas.it
Pugliese
P
P
Barbone
A
A
Gallotti
R
R
D000328:Adult; D001011:Aorta / Q000000981:diagnostic imaging; D001017:Aortic Coarctation / Q000503:physiopathology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000503:physiopathology / Q000601:surgery*; D001281:Atrial Fibrillation / Q000503:physiopathology / Q000601:surgery*; D017115:Catheter Ablation; D002908:Chronic Disease; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010496:Pericardium / Q000601:surgery*; D011184:Postoperative Period; D012086:Reoperation; D014463:Ultrasonography