This video is a capture of a live case performed at the dutch heart week. ... read more ↘ It shows the surgical technique to perform a minimally invasive pulmonary vein isolation with a left atrial box lesion set and left atrial appendage amputation. This approach is the original surgical technique to perform minimal invasive epicardial ablation lesion set to treat patients with very symptomatic (paroxysmal, persistent and long-standing persistent) atrial fibrillation. This treatment is a bailout after multiple failed endocardial ablations, intolerance for medication or patients with very large left atrial dimensions. Also, this treatment is a serious option for left atrial appendage closure for patients that are ineligible for dual antiplatelet and anticoagulants or with contraindications for percutaneous left atrial appendage closure. ↖ read less
