Left atrial isolation for chronic atrial fibrillation associated with aortic arch dissection and aortic valve disease in a 70-year-old man

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi
S HiraiY Matsuura

Abstract

A 70-year-old male with aortic regurgitation, chronic atrial fibrillation (Af) and chronic aortic dissection of the aortic arch was treated simultaneously. We found a limited dissection in front of aortic arch during operation. We performed total arch replacement using a branched prosthesis and aortic valve replacement in addition to a modified left atrial isolation for chronic Af under the aid of extracorporeal circulation, and selective cerebral perfusion. Left atrial isolation is a simpler procedure than maze procedure and left side maze procedure for eliminating Af. This simple procedure makes possible a simultaneous extended operation for complicated aortic and cardiac disease even in an elderly patient.

References

Dec 1, 1992·The Annals of Thoracic Surgery·A GraffignaM Viganò
Aug 15, 1995·Hospital Practice·E W Hancock
Aug 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·J L CoxD G Lappas

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Citations

Mar 22, 2001·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Y TakaharaN Nakajima

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