Document Detail

A modified maze procedure performed only on the left atrium for chronic atrial fibrillation associated with mitral valve disease: report of a case.
MedLine Citation:
PMID:  8919286     Owner:  NLM     Status:  MEDLINE    
We describe herein the successful treatment of a patient with chronic atrial fibrillation (AF) associated with mitral valve stenosis and regurgitation, achieved by performing a modified maze procedure on the left atrium alone. The patient was a 51-year-old man who had suffered from intractable AF for 17 years, causing multiple cerebral emboli and palpitations. He had undergone open mitral commissurotomy and balloon commissurotomy 15 and 7 years ago, respectively. On admission, an echocardiogram revealed mitral valve restenosis and thrombosis in the left atrial appendage. Prosthetic valvular replacement was performed following isolation of all pulmonary veins with cryoablation to the posterior wall of the left atrium and excision of the left atrial appendage. Postoperatively, the AF disappeared and echocardiogram demonstrated a left atrial kick in the mitral valvular inflow without any evidence of thrombosis in the left atrium. Thus, we believe that our modified "left side only" maze procedure is a simple and efficient method for the treatment of chronic AF with mitral valve disease.
T Sueda; H Shikata; K Orihashi; N Mitsui; H Nagata; Y Matsuura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  26     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  1996  
Date Detail:
Created Date:  1997-03-19     Completed Date:  1997-03-19     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  135-7     Citation Subset:  IM    
First Department of Surgery, Hiroshima University School of Medicine, Minami-ku, Japan.
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MeSH Terms
Atrial Fibrillation / surgery*,  ultrasonography
Chronic Disease
Heart Atria / surgery,  ultrasonography
Heart Valve Prosthesis
Middle Aged
Mitral Valve Stenosis / surgery*,  ultrasonography
Postoperative Complications / ultrasonography
Suture Techniques

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

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