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[二尖瓣疾病相关心房颤动的外科治疗]

[Surgical treatment of atrial fibrillation associated with mitral valve disease].

作者信息

Ramírez Samuel, Sandoval Néstor, Cervantes Jorge L

机构信息

Instituto Nacional de Cardiología Ignacio Chávez, Tlalpan, DF México.

出版信息

Arch Cardiol Mex. 2006 Apr-Jun;76 Suppl 2:S200-3.

PMID:17017101
Abstract

The modified Cox maze procedure is the gold standard for ablation of atrial fibrillation in patients undergoing mitral valve surgery, and new approaches to atrial fibrillation ablation must be compared with it. Therefore, we sought to determine the time-related prevalence of atrial fibrillation and its risk factors after combined Cox maze and mitral valve surgery. In some patients undergoing mitral valve surgery and a Cox maze procedure, atrial fibrillation recurs over time, mandating close, long-term follow-up of heart rhythm. Earlier operation should be considered to improve results in selected patients.

摘要

改良Cox迷宫手术是二尖瓣手术患者房颤消融的金标准,新的房颤消融方法必须与之进行比较。因此,我们试图确定Cox迷宫手术和二尖瓣联合手术后房颤的时间相关患病率及其危险因素。在一些接受二尖瓣手术和Cox迷宫手术的患者中,房颤会随着时间推移而复发,这就需要对心律进行密切的长期随访。对于部分患者,应考虑早期手术以改善治疗效果。

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