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Eur J Cardiothorac Surg 2002;22:633-635
© 2002 Elsevier Science NL

Case report

Left atrial epicardial ablation associated to a Bentall procedure

Cardiochirurgia, Istituto Clinico Humanitas, Via Manzoni, Rozzano/Villa Torri (BO), Milan I-20089, Italy

Received 6 March 2002; received in revised form 30 May 2002; accepted 3 June 2002.

* Corresponding author. Present address: Via Manzoni 56, 20089 Rozzano, Milano, Italy. Tel.: +39-02-82244555; fax: +39-02-82244691
e-mail: eric.manasse{at}humanitas.it

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.

Key Words: Atrial fibrillation • Epicardial ablation • Microwave • Bentall procedure