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The mid-term results of patients who underwent radiofrequency atrial fibrillation ablation together with mitral valve surgery
Çolak, Abdurrahim; Kaya, Ugur; Ceviz, Munacettin; Becit, Necip; Kocak, Hikmet.
  • Çolak, Abdurrahim; Atatürk University. Erzurum. TR
  • Kaya, Ugur; Atatürk University. Erzurum. TR
  • Ceviz, Munacettin; Atatürk University. Erzurum. TR
  • Becit, Necip; Atatürk University. Erzurum. TR
  • Kocak, Hikmet; Atatürk University. Erzurum. TR
Rev. bras. cir. cardiovasc ; 31(4): 304-308, July-Sept. 2016. tab, graf
Article in English | LILACS | ID: biblio-829735
ABSTRACT
Abstract Objetive: Saline-irrigated radiofrequency ablation, which has been widely used for surgical treatment of atrial fibrillation in recent years, is 80-90% successful in achieving sinus rhythm. In our study, our surgical experience and mid-term results in patients who underwent mitral valve surgery and left atrial radiofrequency ablation were analyzed. Methods: Forty patients (15 males, 25 females; mean age 52.05±9.9 years; range 32-74) underwent surgery for atrial fibrillation associated with mitral valvular disease. All patients manifested atrial fibrillation, which started at least six months before the surgical intervention. The majority of patients (36 patients, 90%) were in NYHA class III; 34 (85%) patients had rheumatic heart disease. In addition to mitral valve surgery and radiofrequency ablation, coronary artery bypass, DeVega tricuspid annuloplasty, left ventricular aneurysm repair, and left atrial thrombus excision were performed. Following discharge from the hospital, patients' follow-up was performed as outpatient clinic examinations and the average follow-up period of patients was 18±3 months. Results: While the incidence of sinus rhythm was 85.3% on the first postoperative day, it was 80% during discharge and 71% in the 1st year follow-up examination. Conclusion: Radiofrequency ablation is an effective method when it is performed by appropriate surgical technique. Its rate for returning to sinus rhythm is as high as the rate of conventional surgical procedure.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Atrial Fibrillation / Catheter Ablation / Heart Valve Diseases / Mitral Valve Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2016 Type: Article Affiliation country: Turkey Institution/Affiliation country: Atatürk University/TR

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Full text: Available Index: LILACS (Americas) Main subject: Atrial Fibrillation / Catheter Ablation / Heart Valve Diseases / Mitral Valve Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2016 Type: Article Affiliation country: Turkey Institution/Affiliation country: Atatürk University/TR