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Gianluigi Bisleri, MD, Claudio Muneretto, MD 

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Presentation on theme: "Gianluigi Bisleri, MD, Claudio Muneretto, MD "— Presentation transcript:

1 Innovative Monolateral Approach for Closed-Chest Atrial Fibrillation Surgery 
Gianluigi Bisleri, MD, Claudio Muneretto, MD  The Annals of Thoracic Surgery  Volume 80, Issue 5, Pages e22-e25 (November 2005) DOI: /j.athoracsur Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The camera port is placed in the fourth intercostals space, at the apex of the triangle and over the anterior axillary line. The instruments ports are placed in the third and fifth intercostals spaces, outside the triangle connecting the camera port, the jugular notch and the xyphoid. Continuous lines depict the connections between the camera port and the jugular notch and the xiphoid, respectively. (Dotted line = the anterior axillary line.) The Annals of Thoracic Surgery  , e22-e25DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) The percutaneous transluminal coronary angioplasty (PTCA) catheter is inserted through the inferior port and advanced into the transverse sinus through the opened pericardial reflection between the superior vena cava and the right superior pulmonary vein. (B) Once the PTCA catheter has been advanced, it is usually visible over the surface of the right ventricle and the right atrium. (RAA = right atrial appendage; SVC = superior vena cavae.) The Annals of Thoracic Surgery  , e22-e25DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) The tip of the percutaneous transluminal coronary angioplasty (PTCA) catheter is grasped into the oblique sinus and pulled out through the pericardial opening between the inferior vena cava (IVC) and right inferior pulmonary vein. (B) The position of the Flex 10 (Guidant, Fresno, CA) ablation probe can be safely assessed, especially with respect to the left atrial appendage. (LA = left atrium; LAA = left atrial appendage; RV = right ventricle.) The Annals of Thoracic Surgery  , e22-e25DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

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