Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas.
Electrophysiology Unit, Department of Cardiovascular Interventions, Central Chest Institute of Thailand, Nonthaburi, Thailand.
J Cardiovasc Electrophysiol. 2020 Aug;31(8):2168-2171. doi: 10.1111/jce.14497. Epub 2020 Apr 22.
There are important limitations that can hinder outcomes of surgical ablation in nonparoxysmal patients with atrial fibrillation (AF), which is the typical AF population undergoing concomitant cardiac surgery for valve or ischemic heart disease. Incomplete lesions with recovered conduction or gaps as well as arrhythmias originating from areas not targeted by surgical ablation are commonly seen at the time of recurrence. Therefore, while it might be reasonable to perform AF surgery in this cohort, it is important to know these limitations and establish adequate postoperative rhythm monitoring to detect recurrences, which can be effectively addressed by catheter ablation.
在非阵发性心房颤动（房颤）患者中，外科消融术的结果可能会受到重要限制，这些患者是同时因瓣膜或缺血性心脏病而接受心脏手术的典型房颤人群。在复发时，常见到不完全的病变伴传导恢复或间隙，以及源自外科消融术未靶向区域的心律失常。因此，尽管在这部分患者中进行房颤手术可能是合理的，但了解这些局限性并建立适当的术后节律监测以检测复发非常重要，而导管消融术可以有效地解决这些复发问题。
