Totally thoracoscopic concomitant left atrial appendage closure and left ventricular epicardial lead implantation

Fabrizio Guarracini, Stefano Branzoli, Massimiliano Marini, Stefano Guarracini, Michele Di Mauro*, Antonio M. Calafiore, Mark La Meir

*Corresponding author for this work

Research output: Contribution to journalEditorialAcademicpeer-review

3 Citations (Web of Science)


Atrial fibrillation in patients with heart failure due to ventricular dyssynchrony needs decision-making on the rate and rhythm control strategies together with cardiac resynchronization therapy and antithrombotic prophylaxis. Transvenous biventricular pacing and percutaneous appendage closure in patients with heart failure and atrial fibrillation with high bleeding risk are valid therapeutic options but anatomical exclusion criteria could be present. Here, we report two patients who underwent successful totally thoracoscopic concomitant left appendage occlusion and epicardial left ventricular lead implantation.

Original languageEnglish
Pages (from-to)4403-4406
Number of pages4
JournalJournal of Cardiac Surgery
Issue number11
Early online date21 Aug 2021
Publication statusPublished - Nov 2021


  • appendage occlusion
  • cardiac resynchronization therapy
  • thoracoscopic surgery

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