Shah Vishal, Orlov Oleg, Orlov Cinthia, Takebe Manabu, Thomas Matthew, Plestis Konstadinos
Department of Cardiothoracic Surgery, Lankenau Medical Center, Wynnewood, PA, USA.
Lankenau Institute for Medical Research, Wynnewood, PA, USA.
Multimed Man Cardiothorac Surg. 2018 Mar 5;2018. doi: 10.1510/mmcts.2018.022.
Atrial fibrillation is associated with increased morbidity and mortality in patients undergoing mitral valve surgery. There is a growing consensus that patients with preexisting atrial fibrillation should undergo surgical ablation at the time of mitral valve surgery. Novel surgical ablation techniques, including cryoablation, have been developed to facilitate concurrent minimally invasive procedures. This video tutorial describes a combined cryo-maze procedure and mitral valve repair through an upper ministernotomy in a patient with long-standing persistent atrial fibrillation and severe mitral regurgitation.
心房颤动与接受二尖瓣手术患者的发病率和死亡率增加相关。越来越多的共识是，患有既往心房颤动的患者应在二尖瓣手术时进行手术消融。包括冷冻消融在内的新型手术消融技术已经开发出来，以促进同期的微创手术。本视频教程描述了一名患有长期持续性心房颤动和严重二尖瓣反流的患者通过上半胸骨切开术进行的联合冷冻迷宫手术和二尖瓣修复。
