Background Left atrial ablation is a surgical standard technique for the treatment of persistent or chronic atrial fibrillation (p-AF and c-AF, respectively). Objective The aim of the study is to evaluate midterm results of left atrial ablation according to modified Maze procedure in patients affected by p-AF or c-AF and concomitant mitral or aortic valve disease requiring surgical treatment. Methods A total of 108 patients (age, mean +/- standard deviation [SD]: 66 +/- 8.5 years) underwent left atrial ablation by means of unipolar (n = 62) or bipolar (n = 66) radiofrequency for p-AF (n = 28) or c-AF (n = 100) in association with mitral (n = 93) or mitral and aortic valve (n = 35) surgery. Results In-hospital mortality was 0.8%. Patients with preoperative c-AF had preoperative greater value of left atrial diameter (56.7 +/- 7.4 vs. 52 +/- 9 mm, p = 0.05) than those with p-AF. At 9 years after Maze procedure, 86% (n = 24/28) of patients with preoperative p-AF were in sinus rhythm versus 28% (n = 27/95) with c-AF (p < 0.0001). Preoperative c-AF and left atrial diameter of 75 mm or more predicted atrial fibrillation recurrence. In patients in sinus rhythm compared with those in residual atrial fibrillation, survival was 100 versus 86% +/- 6.4%, New York Heart Association class was 1.3 +/- 0.5 versus 1.7 +/- 0.6, and need of lifelong anticoagulation therapy was 43 versus 91% (p < 0.05, for all comparisons). Conclusions Left atrial Maze procedure for p-AF offers better chances to conversion in sinus rhythm as compared with long-standing c-AF. Survival, functional status, and quality of life are superior in patients who benefit from sinus rhythm.
机构:
Univ Wales Hosp, Cardiac Serv Directorate, Cardiff CF14 4XW, S Glam, WalesUniv Wales Hosp, Cardiac Serv Directorate, Cardiff CF14 4XW, S Glam, Wales
von Oppell, Ulrich O.
Masani, Navroz
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机构:Univ Wales Hosp, Cardiac Serv Directorate, Cardiff CF14 4XW, S Glam, Wales
Masani, Navroz
O'Callaghan, Peter
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h-index: 0
机构:Univ Wales Hosp, Cardiac Serv Directorate, Cardiff CF14 4XW, S Glam, Wales
O'Callaghan, Peter
Wheeler, Richard
论文数: 0引用数: 0
h-index: 0
机构:Univ Wales Hosp, Cardiac Serv Directorate, Cardiff CF14 4XW, S Glam, Wales
Wheeler, Richard
Dimitrakakis, Georgios
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h-index: 0
机构:Univ Wales Hosp, Cardiac Serv Directorate, Cardiff CF14 4XW, S Glam, Wales
Dimitrakakis, Georgios
Schiffelers, Sandra
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h-index: 0
机构:
Medtron Bakken Res Ctr, Maastricht, NetherlandsUniv Wales Hosp, Cardiac Serv Directorate, Cardiff CF14 4XW, S Glam, Wales
机构:
Peoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R ChinaPeoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R China
Yao, Ming-Hui
Ren, Chong-Lei
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Peoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R ChinaPeoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R China
Ren, Chong-Lei
Zhang, Lin
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h-index: 0
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Peoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R ChinaPeoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R China
Zhang, Lin
Li, Liang-Gang
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h-index: 0
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Peoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R ChinaPeoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R China
Li, Liang-Gang
Jiang, Sheng-Li
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h-index: 0
机构:
Peoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R ChinaPeoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R China
机构:
Univ Brasilia FM UnB, Surg Dept, Fac Med, Brasilia, DF, Brazil
Univ Brasilia FM UnB, Fac Med, Brasilia, DF, BrazilUniv Brasilia FM UnB, Surg Dept, Fac Med, Brasilia, DF, Brazil
Brick, Alexandre Visconti
Braile, Domingo M.
论文数: 0引用数: 0
h-index: 0
机构:
Fac Med Sao Jose do Rio Preto FAMERP, Sao Jose Do Rio Preto, SP, Brazil
Univ Estadual Campinas, UNICAMP, Campinas, SP, Brazil
Univ Brasilia FM UnB, Fac Med, Brasilia, DF, BrazilUniv Brasilia FM UnB, Surg Dept, Fac Med, Brasilia, DF, Brazil
机构:
Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Wang, Xule
Song, Beibei
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Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Song, Beibei
Qiu, Chunguang
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h-index: 0
机构:
Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Qiu, Chunguang
Han, Zhanying
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h-index: 0
机构:
Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Han, Zhanying
Wang, Xi
论文数: 0引用数: 0
h-index: 0
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Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Wang, Xi
Lu, Wenjie
论文数: 0引用数: 0
h-index: 0
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Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Lu, Wenjie
Chen, Xiaojie
论文数: 0引用数: 0
h-index: 0
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Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Chen, Xiaojie
Chen, Yingwei
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h-index: 0
机构:
Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Chen, Yingwei
Pan, Liang
论文数: 0引用数: 0
h-index: 0
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Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Pan, Liang
Sun, Guoju
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h-index: 0
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Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Sun, Guoju
Qin, Xiaofei
论文数: 0引用数: 0
h-index: 0
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Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Qin, Xiaofei
Li, Ran
论文数: 0引用数: 0
h-index: 0
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Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
机构:
Univ Wales Hosp, Cardiac Serv Directorate, Cardiff CF14 4XW, S Glam, WalesUniv Wales Hosp, Cardiac Serv Directorate, Cardiff CF14 4XW, S Glam, Wales
von Oppell, Ulrich O.
Masani, Navroz
论文数: 0引用数: 0
h-index: 0
机构:Univ Wales Hosp, Cardiac Serv Directorate, Cardiff CF14 4XW, S Glam, Wales
Masani, Navroz
O'Callaghan, Peter
论文数: 0引用数: 0
h-index: 0
机构:Univ Wales Hosp, Cardiac Serv Directorate, Cardiff CF14 4XW, S Glam, Wales
O'Callaghan, Peter
Wheeler, Richard
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h-index: 0
机构:Univ Wales Hosp, Cardiac Serv Directorate, Cardiff CF14 4XW, S Glam, Wales
Wheeler, Richard
Dimitrakakis, Georgios
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h-index: 0
机构:Univ Wales Hosp, Cardiac Serv Directorate, Cardiff CF14 4XW, S Glam, Wales
Dimitrakakis, Georgios
Schiffelers, Sandra
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h-index: 0
机构:
Medtron Bakken Res Ctr, Maastricht, NetherlandsUniv Wales Hosp, Cardiac Serv Directorate, Cardiff CF14 4XW, S Glam, Wales
机构:
Peoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R ChinaPeoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R China
Yao, Ming-Hui
Ren, Chong-Lei
论文数: 0引用数: 0
h-index: 0
机构:
Peoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R ChinaPeoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R China
Ren, Chong-Lei
Zhang, Lin
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h-index: 0
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Peoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R ChinaPeoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R China
Zhang, Lin
Li, Liang-Gang
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h-index: 0
机构:
Peoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R ChinaPeoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R China
Li, Liang-Gang
Jiang, Sheng-Li
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h-index: 0
机构:
Peoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R ChinaPeoples Liberat Army Gen Hosp, Dept Cardiovasc Surg, Med Ctr 1, Beijing 100853, Peoples R China
机构:
Univ Brasilia FM UnB, Surg Dept, Fac Med, Brasilia, DF, Brazil
Univ Brasilia FM UnB, Fac Med, Brasilia, DF, BrazilUniv Brasilia FM UnB, Surg Dept, Fac Med, Brasilia, DF, Brazil
Brick, Alexandre Visconti
Braile, Domingo M.
论文数: 0引用数: 0
h-index: 0
机构:
Fac Med Sao Jose do Rio Preto FAMERP, Sao Jose Do Rio Preto, SP, Brazil
Univ Estadual Campinas, UNICAMP, Campinas, SP, Brazil
Univ Brasilia FM UnB, Fac Med, Brasilia, DF, BrazilUniv Brasilia FM UnB, Surg Dept, Fac Med, Brasilia, DF, Brazil
机构:
Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Wang, Xule
Song, Beibei
论文数: 0引用数: 0
h-index: 0
机构:
Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Song, Beibei
Qiu, Chunguang
论文数: 0引用数: 0
h-index: 0
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Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Qiu, Chunguang
Han, Zhanying
论文数: 0引用数: 0
h-index: 0
机构:
Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Han, Zhanying
Wang, Xi
论文数: 0引用数: 0
h-index: 0
机构:
Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Wang, Xi
Lu, Wenjie
论文数: 0引用数: 0
h-index: 0
机构:
Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Lu, Wenjie
Chen, Xiaojie
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h-index: 0
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Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Chen, Xiaojie
Chen, Yingwei
论文数: 0引用数: 0
h-index: 0
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Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Chen, Yingwei
Pan, Liang
论文数: 0引用数: 0
h-index: 0
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Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Pan, Liang
Sun, Guoju
论文数: 0引用数: 0
h-index: 0
机构:
Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Sun, Guoju
Qin, Xiaofei
论文数: 0引用数: 0
h-index: 0
机构:
Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China
Qin, Xiaofei
Li, Ran
论文数: 0引用数: 0
h-index: 0
机构:
Zhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R ChinaZhengzhou Univ, Affiliated Hosp 1, Dept Cardiol, 1st Jian She East Rd, Zhengzhou 450052, Peoples R China