surgical radiofrequency maze iii ablation for treatment of atrial fibrillation during open heart surgery
نویسندگان
چکیده
background: atrial fibrillation is a common arrhythmia in patients with rheumatic mitral and other valve diseases who are candidates for valve repair surgeries. conversion of rhythm to sinus has positive effects on quality of life and lower use of medications. the aim of this clinical study was to evaluate the effectiveness of the radiofrequency ablation maze iii procedure in the treatment of atrial fibrillation associated with rheumatic heart valve disease. methods: we applied a modified cox iii maze procedure using radiofrequency ablation in the treatment of atrial fibrillation associated with rheumatic heart valve disease and evaluated the outcome of 20 patients of atrial fibrillation associated rheumatic valve disease who underwent radiofrequency ablation maze iii procedure plus heart valve surgery. demographic, echocardiographic, electrocardiographic and doppler study data were calculated before surgery, six month and one year after surgery.. results: no perioperative deaths occurred in the study group. duration of additional time for doing radiofrequency ablation was about 22 minutes. freedom from atrial fibrillation was 85% and 75% at six months and one year follow-up respectively... conclusions: the addition of the radiofrequency ablation maze procedure to heart valve surgery is safe and effective in the treatment of atrial fibrillation associated with rheumatic heart valve disease..
منابع مشابه
Surgical treatment of permanent atrial fibrillation during cardiac surgery using monopolar and bipolar radiofrequency ablation
OBJECTIVE Permanent atrial fibrillation (pAF) is a serious problem in cardiac surgery: An incidence of 3.5% among all patients scheduled for open heart surgery, 9.8% in heart valve cases and 45.6% among patients with severe rheumatic mitral valve (MV) disease was observed in our institution. Our experience with radiofrequency (RF) ablation procedures to treat pAF in these cases is reported. M...
متن کاملRadiofrequency ablation for treatment of atrial fibrillation.
INTRODUCTION Atrial Fibrillation (AF) is the most common cardiac arrhythmia which represents a major public health problem. The main purpose of this research is to evaluate the Radiofrequency (RF) ablation effects in the patients with chronic AF scheduled for cardiac surgery because of different heart diseases. METHODS The descriptive and prospective study was conducted on 60 patients with AF...
متن کامل[Surgical ablation of atrial fibrillation using radiofrequency].
OBJECTIVE To evaluate the effectiveness of intraoperative atrial fibrillation ablation using radiofrequency during mitral valve procedure. This report describes the early and midterms results. METHODS Between September 2003 and September 2005, 15 patients with mitral disease were operated. All patients were in chronic atrial fibrillation and with congestive symptoms despite full medication. T...
متن کاملRadiofrequency ablation in treatment of atrial fibrillation.
Beside heart failure and metabolic syndrome, atrial fibrillation is termed the cardiovascular epidemic of the twenty-first century. Its increased morbidity and mortality is alarming. The present, most effective therapy of atrial fibrillation is catheter ablation. Successful ablation of atrial fibrillation prevents the occurrence and progression of electrical, structural and mechanic myocardium ...
متن کاملAtrial Fibrillation Left Atrial Versus Bi-Atrial Maze Operation Using Intraoperatively Cooled-Tip Radiofrequency Ablation in Patients Undergoing Open-Heart Surgery Safety and Efficacy
OBJECTIVES We sought to determine whether limited left atrial Maze surgery encircling each of the pulmonary veins, using cooled-tip radiofrequency (RF) ablation, is as effective as the bi-atrial approach? BACKGROUND The original Cox/Maze operation effectively restores sinus rhythm (SR) in patients with atrial fibrillation (AF). Ablation procedures aimed at eliminating pulmonary vein foci have p...
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عنوان ژورنال:
the journal of tehran university heart centerجلد ۱، شماره ۱، صفحات ۲۳-۲۷
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