Document Detail

Midterm results after the Mini-Maze procedure.
MedLine Citation:
PMID:  10554849     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Atrial fibrillation (AF) is the most common arrhythmia. However, its precise electrophysiologic mechanism is still not well understood. Chronic symptomatic AF resistant to medical therapy, can successfully be treated by the Maze III procedure (M III). However, there are several publications dealing with alternative surgical techniques. This study describes technique and midterm results of a Mini-variant of the M III procedure. METHODS: During a 38-month period we performed either an M III (seven patients) (group I) or a MINI-operation (45 patients) (group II) with chronic symptomatic AF and additional cardiac pathology. Patients were controlled 3.6 +/- 0.9 and 14.9 +/- 2.2 months after operation by means of thorough electrophysiological assessment, right heart catheterization, magnetic resonance imaging (MRI), echocardiography, stress-EGG and 24-h-ECG. RESULTS: There was no significant differences between the two groups with regard to sex, age and duration of AF. Echocardiographic left atrial diameter (LAD) was 75 +/- 11 mm in group I and 67 +/- 8 mm in group II (P = 0.01). Whereas right atrial diameter was 62 +/- 8 mm in group I and 56 +/- 7 mm in group II (NS). Perioperative data (n = 52): aortic cross clamp time was 127 +/- 40 mm in group I and 87 +/- 21 mm in group II, (P = 0.0002). Cardiopulmonary bypass time was 185 +/- 71 mm in group I and 137 +/- 46 mm in group II, (P = 0.02). Postoperative data: there was no difference between the two groups with regard to sinus rhythm, prolonged sinus node recovery time, pacemaker (PM) in AAI-mode, inducible atrial fibrillation, reduction of left and right atrial size after a follow-up interval of 3.6 months and 1 year, respectively. CONCLUSION: Midterm results are identical after M III and MINI. MINI is less complex compared to the M III procedure and there is a significant reduction of crossclamp- and ECC-time. We recommend the MINI especially for polymorbid patients, and for those with poor left ventricular function.
Z A Szalay; W Skwara; H F Pitschner; I Faude; W P Klövekorn; E P Bauer
Related Documents :
8417049 - A prospective randomized comparison of direct current and radiofrequency ablation of th...
15172659 - Beta-blockers prevent subacute recurrences of persistent atrial fibrillation only in pa...
2909999 - Echocardiographic and clinical predictors for outcome of elective cardioversion of atri...
12875749 - Mortality, morbidity, and quality of life after circumferential pulmonary vein ablation...
19531579 - A history of atrial fibrillation and outcomes in chronic advanced systolic heart failur...
16403059 - Comparison between anatomical and integrated approaches to atrial fibrillation ablation...
17514399 - Health economic evaluation of therapeutic strategies in patients with idiopathic achala...
3359129 - Prostatectomy: patients' perception and long-term follow-up.
16106179 - Condylar positioning in sagittal split ramus osteotomy by the triangle method.
Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  16     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-12-07     Completed Date:  1999-12-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  306-11     Citation Subset:  IM    
Division of Cardiothoracic Surgery, Kerckhoff Clinic of the Max-Planck-Institute, Bad Nauheim, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Atrial Fibrillation / diagnosis,  surgery*
Cardiac Surgical Procedures / methods*,  mortality
Follow-Up Studies
Heart Valve Diseases / diagnosis,  surgery
Middle Aged
Statistics, Nonparametric
Surgical Procedures, Minimally Invasive / methods,  mortality
Survival Rate
Treatment Outcome

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

Previous Document:  Prosthetic heart valve evaluation by magnetic resonance imaging.
Next Document:  Augmented venous return for minimally invasive open heart surgery with selective caval cannulation.