The patient was a teacher, 56 years old, who had suffered from atrial fibrillation for many years and often experienced rapid ventricular rhythm atrial fibrillation during classes or activities for students, with self-induced heartbeat, heartbeat disturbance or rapid heartbeat, physical fatigue or exertion; dizziness or fainting; and also chest discomfort: pain, pressure or discomfort; or difficulty breathing during light physical activity or rest. The patient had undergone atrial septal defect sealing surgery 9 years earlier and was unable to complete catheter radiofrequency ablation. The all-thoracoscopic radiofrequency ablation of atrial fibrillation gave the patient another effective method of minimally invasive treatment of atrial fibrillation with a success rate of about 80-90%.