One-stage surgical correction of atrial fibrillation on pump combined with coronary artery bypass grafting
One of the main causes of atrial fibrillation is ischemic heart disease. That is why, simple correction of atrial fibrillation without correction of ischemic heart disease is associated with high risk of backset. This medical case demonstrates advantages of epicardial radiofrequency ablation on pump combined with aortocoronary bypass on the example of the patient with ischemic heart disease and paroxysmal form of atrial fibrillation. The operation was successful, the clinical result was achieved. In early postoperative period, according to the data from Holter's 24-hour monitoring were registered two episodes of atrial fibrillation, which were covered with Sotalol, episodes were not registered after it on the whole period. The patient was discharged on the seventh day in a satisfactory condition. Six months after the operation there were no any form of arrithmia, no pauses in cardiac rhythm. The demonstrated medical case shows that coronary artery bypass grafting with on pump epicardial radiofrequency ablation of lung veins is highly effective, save and sustainable method of surgical treatment of hemodynamically significant coronary artery lesions in combination with atrial fibrillation.