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Video-assisted thoracoscopic surgery to displace the phrenic nerve during endocardial ablation of right atrial tachycardia  João Mesquita, MD, MSc, Jaskanwal.

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Presentation on theme: "Video-assisted thoracoscopic surgery to displace the phrenic nerve during endocardial ablation of right atrial tachycardia  João Mesquita, MD, MSc, Jaskanwal."— Presentation transcript:

1 Video-assisted thoracoscopic surgery to displace the phrenic nerve during endocardial ablation of right atrial tachycardia  João Mesquita, MD, MSc, Jaskanwal Bisla, MD, Anson Lee, MD, Marco Perez, MD  HeartRhythm Case Reports  Volume 4, Issue 7, Pages (July 2018) DOI: /j.hrcr Copyright © 2018 Heart Rhythm Society Terms and Conditions

2 Figure 1 Electrocardiogram showing normal sinus rhythm with an average ventricular rate of 63 beats per minute. Multiple premature atrial complexes were observed. HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

3 Figure 2 Electroanatomical activation mapping showing the sites of earliest activation during premature atrial contractions. The phrenic nerve capture area is also highlighted (blue circles), clearly overlapping the target ablation area. HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

4 Figure 3 A: Pericardiotomy extended inferiorly and superiorly with the Bovie cautery. B: Placement of a silk suture in the mid point of the incised pericardium, which was externalized through the chest wall. Gentle traction on the suture was able to retract the lateral pericardial wall. HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

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