Surgical ablation of permanent atrial fibrillation by means of maze radiofrequency: mid-term results

Journal of Cardiac Surgery
Fernando HorneroJose A Montero

Abstract

The maze procedure can be performed surgically with radiofrequency, generating transmural ablation lines. We report our experience with a biatrial pattern of lesions based on the use of epicardial and endocardial radiofrequency ablation in an effort to minimize maze procedure. In 85 patients undergoing cardiac surgery for established permanent atrial fibrillation (>3 months), a biauricular pattern of epicardic-endocardic maze lesions was performed. The main surgical procedures were diverse: 42 mitral valve surgeries, 7 mitrotricuspid valves, 18 mitroaortics, 4 mitroaortic and tricuspids, 2 aortic valves, 3 CABGs, 5 CABG and valve procedures, and 4 atrial septal defects. The mean age of the patients was 61 +/- 12 (range 39-78). The mean duration of atrial fibrillation was 5.8 years (range 0.3 to 24). Sixty-two (72.9%) patients presented postoperative supraventricular arrhythmia. Hospital mortality was seen in five patients (5.8%). Two patients died after a 12-month mean follow-up (range 2 to 32). A total of 14.1% of patients remained with their previous atrial fibrillation and 85.9% recovered and maintained sinus rhythm, with two patients having a permanent pacemaker. A total of 56% patients have been followed-up for a period of...Continue Reading

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Citations

Apr 13, 2011·General Thoracic and Cardiovascular Surgery·Aşkın Ender Topal, Mehmet Nesimi Eren
Jan 15, 2013·The Journal of Thoracic and Cardiovascular Surgery·Yu-Mi ImTae-Jin Yun
Oct 16, 2012·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Anil K GehiAndy C Kiser
May 13, 2006·Pacing and Clinical Electrophysiology : PACE·John D FisherEugen C Palma
Dec 3, 2014·The Annals of Thoracic Surgery·Constantine MavroudisBarbara J Deal

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