Korean J Thorac Cardiovasc Surg.  2015 Dec;48(6):429-431. 10.5090/kjtcs.2015.48.6.429.

Persistent Atrial Fibrillation Related to a Congenital Pericardial Defect and Left Atrial Appendage Herniation

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. opheart1@gmail.com

Abstract

Congenital pericardial defects (CPDs) are infrequent anomalies that are usually asymptomatic and are discovered incidentally during unrelated interventions. Here we report the case of a CPD with herniation of an enlarged left atrial appendage identified during total thoracoscopic ablation (TTA) for persistent atrial fibrillation (AF). The persistent AF was successfully treated with a hybrid procedure, in which TTA was followed by an electrophysiological study.

Keyword

Pericardium; Atrial fibrillation; Video-assisted thoracic surgery; Herniation; Atrial appendage

MeSH Terms

Atrial Appendage*
Atrial Fibrillation*
Pericardium
Thoracic Surgery, Video-Assisted
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