Radiofrequency ablation of atrial fibrillation during mitral valve surgery.

Autor:	Oueida F; Cardiac Surgery Department, Saud Al-Babtain Cardiac Centre, Dammam, Saudi Arabia., Elawady MA; Cardiothoracic Surgery Department, Banha Faculty of Medicine, Banha University, Egypt mohamedawady@yahoo.com., Eskander K; Cardiac Surgery Department, Saud Al-Babtain Cardiac Centre, Dammam, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Asian cardiovascular & thoracic annals [Asian Cardiovasc Thorac Ann] 2014 Sep; Vol. 22 (7), pp. 807-10. Date of Electronic Publication: 2014 Jan 21.
DOI:	10.1177/0218492313519990
Abstrakt:	Objectives: Atrial fibrillation is the most common form of arrhythmia in mitral valve disease. Radiofrequency ablation is most commonly used for atrial fibrillation ablation during mitral valve surgery. Methods: This prospective study evaluated the midterm outcomes of intraoperative radiofrequency atrial fibrillation ablation during mitral valve surgery. Results: 52 patients were eligible for the study. Fifteen (28.8%) had a transseptal approach and 37 had a left atriotomy. Mitral valve replacement was performed in 16 patients, mitral valve repair in 31, and tricuspid repair in 8. Mean crossclamp time was 58.14.± 20.08 min, and mean cardiopulmonary bypass time was 71.28 ± 20.31 min. The mean ablation time was 6.41 ± 0.21 min. There was no postoperative mortality. Sinus rhythm was documented in 44 (84.6%) patients on discharge, and 8 (15.4%) were discharged with atrial fibrillation; 2 of them returned to sinus rhythm after 3 months. After 12 months of follow-up, 46 (88.5%) patients were in sinus rhythm. Conclusion: Left atrial monopolar radiofrequency ablation during mitral valve surgery is a safe procedure with a high success rate. (© The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.)
Databáze:	MEDLINE
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