Minimally Invasive Surgical Treatment of Concomitant Coronary Artery Disease and Atrial Fibrillation: The First Russian Experience
Dmitry O. Bystrov,
Roman N. Komarov,
Aleksey N. Shonbin,
Boris O. Afonin,
Roman O. Sorokin,
Denis A. Matsuganov Abstract
Aim: to evaluate the efficacy and safety of combined minimally invasive surgical treatment for coronary artery disease (CAD) and atrial fibrillation (AF) in patients with isolated lesions of the left anterior descending artery (LAD).
Materials and methods: the study presents two clinical cases of combined minimally invasive treatment for CAD and AF. Both patients underwent: thoracoscopic radiofrequency ablation of the left atrium with left atrial appendage resection and minimally invasive direct coronary artery bypass grafting (MIDCAB) of the LAD. Procedures were performed using a video endoscopic system and the AtriCure radiofrequency generator.
Results: the postoperative course was uneventful: extubation at 6 and 4 hours postoperatively, drainage blood loss of 100 mL. Both patientsmaintained sinus rhythm with no angina recurrence, AF episodes, or heart failure symptoms during hospitalization and follow-up (12 and 1 month, respectively).
Conclusion: these cases demonstrate the feasibility, efficacy, and safety of a combined minimally invasive approach for treating CAD and AF in select patients
About the Authors
Dmitry O. Bystrov
E.E. Volosevich First City Clinical Hospital
Russian Federation
Russian Federation
Dmitry O. Bystrov, MD, Cardiovascular Surgeon,
1, Suvorova street, Arkhangelsk, 163001.
Roman N. Komarov
FSAEI of Higher Education "I.M. Sechenov First Moscow State Medical University" of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation
Russian Federation
Roman N. Komarov, MD, PhD, Professor, Director of the Clinical Center,
8, Trubetskaya str., building 2, Moscow, 119991.
Aleksey N. Shonbin
E.E. Volosevich First City Clinical Hospital
Russian Federation
Russian Federation
Aleksey N. Shonbin, MD, Cardiovascular Surgeon,
1, Suvorova street, Arkhangelsk, 163001.
Boris O. Afonin
E.E. Volosevich First City Clinical Hospital
Russian Federation
Russian Federation
Boris O. Afonin, MD, Cardiovascular Surgeon,
1, Suvorova street, Arkhangelsk, 163001.
Roman O. Sorokin
E.E. Volosevich First City Clinical Hospital
Russian Federation
Russian Federation
Roman O. Sorokin, MD, Cardiovascular Surgeon,
1, Suvorova street, Arkhangelsk, 163001.
Denis A. Matsuganov
FSAEI of Higher Education "I.M. Sechenov First Moscow State Medical University" of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation
Russian Federation
Denis A. Matsuganov, MD, Cardiovascular Surgeon at the Clinical Center,
8, Trubetskaya str., building 2, Moscow, 119991.
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Review
For citations:
Bystrov D.O., Komarov R.N., Shonbin A.N., Afonin B.O., Sorokin R.O., Matsuganov D.A. Minimally Invasive Surgical Treatment of Concomitant Coronary Artery Disease and Atrial Fibrillation: The First Russian Experience. Minimally Invasive Cardiovascular Surgery. 2025;1(2):94-99. (In Russ.)
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