Erschienen in:
01.12.2006 | INVITED COMMENTARY
Invited Commentary on Role of Simultaneous Sequential Strategy for Failed Acute Sinus Restoration After Modified Left Maze Procedure for Persistent Atrial Fibrillation with Concomitant Mitral Surgery
verfasst von:
Malek G. Massad, MD
Erschienen in:
World Journal of Surgery
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Ausgabe 12/2006
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Excerpt
In this issue, Chang
et al. (DOI: 10.1007/s00268-006-0382-0) report on their experience with the operative approach of selective simultaneous sequential right atrial ablation for failed acute sinus rhythm restoration after a modified left Maze procedure.
1 Their small prospective cohort consisted of 27 patients undergoing surgical ablation of atrial fibrillation (AF) concomitant with mitral valve surgery using a combination of irrigated radiofrequency ablation and cryoablation. Of the 27 patients who were operated on with this strategy, a left Maze ablation was not sufficient in 7 patients (25.9%) who then received simultaneous sequential right side ablation resulting in acute restoration of sinus rhythm in 6 patients. At a mean follow up of 17.8 months, 88.9% of the patients remained in sinus rhythm despite the fact that no anti-arrhythmic agents were administered in the perioperative period or late postoperatively. This overall sinus conversion rate is comparable to that reported with biatrial ablation. …
