In your case the indication to perform an LAA closure and stop anticoagulation is given. This is a good argument to go for a thoracoscopic procedure. This will include bipolar RF PVI in addition to LAA Clipping. After this procedure you will require anticoagulation for 6 Weeks afterwhich this can be discontinued safely.
The results fo this procedure are excellent.
The occurrence of atrial fibrillation is common in the setting of mitral stenosis. The left atrium is usually enlarged and scarred in this situation leading to the difficulty in treating AF. It is unlikely that a sinus infection could have caused AF. However if you have any doubts, then you can wait until the infection resolves and see if AF still reccurs.
Dr. Andrea Natale
Dr. Andrea Natale is a board certified electrophysiology expert and practices at executive medical director of the Texas Cardiac Arrhythmia Institute at St. David's Medical Center in Austin, Texas. Dr. Natale also is the Senior Medical Director at Pacific Atrial Fib and Arrhythmia Center in San Francisco. He visits MetroHealth in Cleveland, and Akron General, Ohio. He has pioneered a new circumferential ultrasound vein-ablation system to correct atrial fibrillation and performed the procedure on the world's first five patients. For further details Please visit :Link
Dr. Dhanunjaya Lakkireddy
Dr. Dhanunjaya Lakkireddy, MD, F.A.C.C, FHRS. is a board certified electrophysiology expert and practices at Mid-America Cardiology and The University of Kansas Hospital Clinics in Kansas City, KS, USA. He has several distinctions in clinical and research career to his credit and serves as an associate editor for Journal of Atrial Fibrillation.For further details Please visit :Link
Andrea Natale, MD, F.A.C.C, FHRS, Executive Medical Director, Texas Cardiac Arrhythmia Institute .
Dr. Dhanunjay Lakkireddy, MD, F.A.C.C, FHRS, University of Kansas Hopitals, Kansas City, KS, USA.
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