Surgical treatment of atrial fibrillation in the beating heart: A novel approach

Eric Manasse, Alessandro Barbone, Simone Ghiselli, Enrico Citterio, Alessandro Eusebio, Giussepe Silvaggio, Diego Ornaghi, Roberto Gallotti

Research output: Contribution to journalArticlepeer-review


Up to 50% of patients undergoing mitral valve surgery have concomitant atrial fibrillation. An epicardial approach may offer the benefit of reducing the aortic cross-clamping time and avoiding an undue left atriotomy. During the last year we have been developing a simple technique to reproduce epicardially the same lesion pattern we had previously achieved endocardially. Two patients with chronic atrial fibrillation received atrial ablation using a microwave energy probe (Flex-10, AFx Inc., Fremont, CA, USA) immediately before undergoing a concomitant cardiac procedure. The procedure is relatively quick to perform and with appropriate care can be conducted with a low risk of perioperative adverse events.

Original languageEnglish
Pages (from-to)872-874
Number of pages3
JournalItalian Heart Journal
Issue number12
Publication statusPublished - Dec 2003


  • Arrhythmias
  • Atrial fibrillation
  • Supraventricular

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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