| Surgery for atrial fibrillation using radiofrequency catheter ablation. | |
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MedLine Citation:
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PMID: 14688688 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: We present the results obtained in 40 patients with chronic atrial fibrillation using direct intraoperative radiofrequency to perform atrial fibrillation surgery. METHODS: Between April 2001 and June 2002, 40 patients underwent surgery for atrial fibrillation using radiofrequency ablation and cardiac surgery at the Department of Cardiovascular Surgery of the University of Bologna [corrected]. There were 8 men and 32 women with a mean age of 62 +/- 11.6 years (range: 20 to 80 years). RESULTS: Concomitant surgical procedures were: mitral valve replacement (n = 13), mitral valve replacement plus tricuspid valvuloplasty (n = 11), combined mitral and aortic valve replacement (n = 8), and combined mitral and aortic valve replacement plus tricuspid valvuloplasty (n = 5). Moreover, 1 patient underwent tricuspid valvuloplasty plus atrial septal defect repair, another required aortic valve replacement plus coronary artery bypass graft, and a third underwent aortic valve replacement. After the mean follow-up time of 16.5 +/- 2.5 months survival was 92.8% and the overall cumulative rate of sinus rhythm was 88.5%. CONCLUSIONS: We conclude that the radiofrequency ablation procedure is a safe and effective means of curing atrial fibrillation with negligible technical and time requirements, allowing recovery of the sinus rhythm and atrial function in the great majority of patients with atrial fibrillation who underwent cardiac surgery (88.5% of our study population). |
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Authors:
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Bruno Chiappini; Sofia Martìn-Suàrez; Antonino LoForte; Roberto Di Bartolomeo; Giuseppe Marinelli |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of thoracic and cardiovascular surgery Volume: 126 ISSN: 0022-5223 ISO Abbreviation: J. Thorac. Cardiovasc. Surg. Publication Date: 2003 Dec |
Date Detail:
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Created Date: 2003-12-22 Completed Date: 2004-01-22 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0376343 Medline TA: J Thorac Cardiovasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1788-91 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiovascular Surgery, Policlinico S. Orsola-Malpighi, University of Bologna, Italy. bruno_chiappini@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Atrial Fibrillation / surgery* Catheter Ablation* / methods Female Follow-Up Studies Heart Valves / surgery Humans Male Middle Aged |
| Comments/Corrections | |
Erratum In:
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J Thorac Cardiovasc Surg. 2004 May;127(5):1548 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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