Document Detail


Concomitant irrigated monopolar radiofrequency ablation of atrial fibrillation in adults with congenital heart disease.
MedLine Citation:
PMID:  18024493     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Atrial fibrillation is the most frequent form of atrial arrhythmias in adults with congenital heart disease. Some serious complications are related with the presence of atrial fibrillation after surgery. Because of the complexity and the risk of bleeding, the Maze III procedure has been largely replaced by alternative energy sources. Our experience in using irrigated monopolar radiofrequency ablation to treat atrial fibrillation in adults with congenital heart disease is reported. Seven patients with congenital heart disease and atrial fibrillation underwent irrigated monopolar radiofrequency ablation. All patients were confirmed in permanent fibrillation preoperatively. Six were adult atrial septal defect patients and one was an adult patent ductus arteriosus patient. All patients survived the procedure and discharged in sinus rhythm. There were no complications related to radiofrequency ablation. The time of ablation ranged from 17 to 22 min (average 19.5 min). Follow-up ranged from 3 to 48 months. One patient with mitral valve replacement (MVR) died of cerebral hemorrhage 13 months after surgery. The last electrocardiogram showed that six patients were in sinus rhythm and one patient in junctional rhythm. Irrigated monopolar radiofrequency ablation is an easy, effective, safe and economic concomitant operation to eliminate atrial fibrillation in adult patients with congenital heart defect and atrial fibrillation.
Authors:
Yong-Qiang Lai; Jin-Hua Li; Jing-Wei Li; Shang-Dong Xu; Yi Luo; Zhao-Guang Zhang
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Publication Detail:
Type:  Journal Article     Date:  2007-11-16
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  7     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-01-31     Completed Date:  2008-02-14     Revised Date:  2008-02-27    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  80-2     Citation Subset:  IM    
Affiliation:
Division of Cardiac Surgery, Beijing Anzhen Hospital, Capital University of Medical Sciences, 36 Wuluju Chaoyang District, Beijing, 100029 China. yongqianglai@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Atrial Fibrillation / complications,  physiopathology,  surgery*
Catheter Ablation / instrumentation*
Ductus Arteriosus, Patent / complications*,  diagnosis
Echocardiography
Electrocardiography
Equipment Design
Female
Follow-Up Studies
Heart Catheterization
Heart Rate
Heart Septal Defects, Atrial / complications*,  diagnosis
Humans
Male
Middle Aged
Retrospective Studies
Treatment Outcome
Comments/Corrections
Comment In:
Interact Cardiovasc Thorac Surg. 2008 Feb;7(1):82-3   [PMID:  18234771 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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