Conduction from the arrhythmogenic right upper pulmonary vein to superior vena cava can induce atrial fibrillation

Complications of robot‐assisted thymectomy: A single‐arm meta‐analysis and systematic review

“…A probable cause is the high lymph nodes resection rate in the right‐side approach, and the right‐side surgical approach is more likely to damage the cardiac plexus. In fact, it has been confirmed that conduction from the arrhythmogenic right upper pulmonary vein to the superior vena cava can induce atrial fibrillation 18 . The inadequate surgical extent (residual fatty tissue behind the left brachiocephalic vein, surrounding the left phrenic nerve and in the left pericardiophrenic angle) may account for poorer surgical outcomes after thymectomy, 19 and the risk of rupture pleura when R‐VATS were performed from the right side is also increased.…”