Document Detail


Left atrial radiofrequency compartmentalization for chronic atrial fibrillation during heart surgery.
MedLine Citation:
PMID:  12077688     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The excellent results of the Maze III operation have demonstrated that a surgical cure of atrial fibrillation (AF) is possible. A simplified Maze procedure with radiofrequency (RF)ablation of the atrial tissue added to open heart surgery may help to cure chronic AF with low risk. METHODS: From May 1998 to March 2001, an RF left atrial compartmentalization concomitant to a cardiac surgical intervention was performed on 40 of 1,258 patients (3.2 %). Thirty-seven patients had mitral valve disease, two had aortic valve disease and one had coronary artery disease. All patients presented with chronic refractory AF for a mean time of 40.4 months ranging from 4 months to 18 years. RESULTS: Mitral valve replacement (MVR) was performed in 19 patients, mitral valve repair in 12, combined aortic and mitral valve procedures were performed in 6, aortic valve replacement(AVR) in 2 and CABG in 1 patient. Cardiopulmonary bypass time for the complete procedure was 138 +/- 32 minutes with an ablation time of 19 +/- 5 minutes. No complication related to RF application was noted. Sinus rhythm was present in 68% after 12.5 +/- 8.5 months. CONCLUSIONS: RF left atrial compartmentalization combined with cardiac surgical interventions proved to be easy and safe to perform. The long-term results still have to be confirmed with further regular patient follow-up examinations.
Authors:
P Ruchat; J Schlaepfer; A Delabays; M Hurni; J Milne; L K Von Segesser
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  50     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-06-21     Completed Date:  2002-08-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  155-9     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, University Hospital, Lausanne, Switzerland. Patrick.Ruchat@chuv.hospvd.ch
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MeSH Terms
Descriptor/Qualifier:
Aged
Aortic Valve / surgery
Atrial Fibrillation / complications,  surgery*
Catheter Ablation*
Chronic Disease
Combined Modality Therapy
Coronary Artery Bypass
Coronary Disease / complications,  surgery
Female
Heart Valve Diseases / complications,  surgery
Heart Valve Prosthesis Implantation*
Humans
Male
Middle Aged
Mitral Valve / surgery

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


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