Yuan Shi-Min, Jing Hua, Sternik Leonid
Department of Cardiothoracic Surgery, Jinling Hospital, School of Clinical Medicine, Nanjing University, Nanjing 210002, Jiangsu Province, People's Republic of China.
Sao Paulo Med J. 2010 Dec;128(6):367-70. doi: 10.1590/s1516-31802010000600010.
Currently, off-pump video-assisted thoracoscopic epicardial pulmonary vein isolation offers an attractive alternative to on-pump Maze procedures for surgical treatment of lone atrial fibrillation. Nevertheless, on-pump Maze procedures through a mid-sternotomy approach still play an important role in patients with lone atrial fibrillation on many occasions, especially in patients with failed percutaneous pulmonary vein alone. The aim of this article was to give a brief review of the surgical strategies for treating lone atrial fibrillation, and present the possible indications for on-pump Maze procedures through a mid-sternotomy approach.
目前，非体外循环电视辅助胸腔镜心外膜肺静脉隔离术为孤立性心房颤动的外科治疗提供了一种有吸引力的替代体外循环迷宫手术的方法。然而，经正中胸骨切开术的体外循环迷宫手术在许多情况下，对孤立性心房颤动患者仍起着重要作用，特别是在单纯经皮肺静脉隔离失败的患者中。本文旨在简要回顾治疗孤立性心房颤动的手术策略，并介绍经正中胸骨切开术的体外循环迷宫手术的可能适应证。
