Kyprianou Katerina, Pericleous Agamemnon, Stavrou Antonio, Dimitrakaki Inetzi A, Challoumas Dimitrios, Dimitrakakis Georgios
Katerina Kyprianou, Department of General Surgery, North Bristol NHS trust, Southmead Hospital, Bristol BS10 5NB, United Kingdom.
World J Cardiol. 2016 Jan 26;8(1):41-56. doi: 10.4330/wjc.v8.i1.41.
Atrial fibrillation (AF) is the most common cardiac arrhythmia and a huge public health burden associated with significant morbidity and mortality. For decades an increasing number of patients have undergone surgical treatment of AF, mainly during concomitant cardiac surgery. This has sparked a drive for conducting further studies and researching this field. With the cornerstone Cox-Maze III "cut and sew" procedure being technically challenging, the focus in current literature has turned towards less invasive techniques. The introduction of ablative devices has revolutionised the surgical management of AF, moving away from the traditional surgical lesions. The hybrid procedure, a combination of catheter and surgical ablation is another promising new technique aiming to improve outcomes. Despite the increasing number of studies looking at various aspects of the surgical management of AF, the literature would benefit from more uniformly conducted randomised control trials.
心房颤动（AF）是最常见的心律失常，是一项巨大的公共卫生负担，伴有显著的发病率和死亡率。几十年来，越来越多的患者接受了房颤的外科治疗，主要是在同期心脏手术期间。这引发了对该领域进行进一步研究的动力。由于作为基石的Cox-Maze III“切割缝合”手术在技术上具有挑战性，当前文献的重点已转向侵入性较小的技术。消融设备的引入彻底改变了房颤的外科治疗方式，摒弃了传统的手术损伤。杂交手术，即导管消融与外科消融相结合，是另一项旨在改善治疗效果的有前景的新技术。尽管有越来越多的研究关注房颤外科治疗的各个方面，但文献将受益于更统一进行的随机对照试验。
