Frontiers in Cardiovascular Medicine (Jan 2023)

Case report: Thoracoscopic ablation for a patient with atrial fibrillation and persistent left superior vena cava

  • Haozhong Liu,
  • Haozhong Liu,
  • Haozhong Liu,
  • Tong Tan,
  • Tong Tan,
  • Tong Tan,
  • Hailong Qiu,
  • Hailong Qiu,
  • Jimei Chen,
  • Jimei Chen,
  • Jian Liu,
  • Jian Liu,
  • Peijian Wei,
  • Peijian Wei,
  • Huiming Guo,
  • Huiming Guo

DOI
https://doi.org/10.3389/fcvm.2022.1096973
Journal volume & issue
Vol. 9

Abstract

Read online

Persistent left superior vena cava (PLSVC) is a relatively rare congenital anomaly in the general population. It plays an important role in initiating and maintaining atrial fibrillation (AF) in some patients. Radiofrequency catheter ablation is the major treatment for patients with AF and PLSVC in most publications. Here, we reported a case of thoracoscopic ablation for a patient with atrial fibrillation and persistent left superior vena cava. After preprocedural simulation using virtual reality, we successfully completed box-lesion, ablation line from superior vena cava to inferior vena cava, left atrial appendage (LAA) excision, and PLSVC ablation. It provides a new perspective on surgical treatment for patients with AF and PLSVC.

Keywords