Minzioni G, Graffigna A, Pagani F, Vigano M
Cattedra di Cardiochirurgia, Universita degli Studi di Pavia, I.R.C.C.S. Policlinico S. Matteo, Italy.
Cardiovasc Surg. 1993 Dec;1(6):666-9.
To restore sinus rhythm in the remaining heart chambers of six adult patients with atrial septal defect and chronic or paroxysmal atrial fibrillation, electrical, right atrial isolation associated with surgical correction of the defect was performed. All but one patient was free from atrial fibrillation without medication 2-25 months after operation. The isolated right atrial appendages showed intrinsic rhythmical activity in five patients and no electrical activity in one. Right atrial isolation is a safe and effective procedure that abolishes atrial fibrillation in patients with arrhythmia after surgical correction of atrial septal defect.
为使6例患有房间隔缺损及慢性或阵发性心房颤动的成年患者剩余心腔恢复窦性心律,实施了与缺损手术矫正相关的电右心房隔离术。除1例患者外,所有患者术后2至25个月未用药时均未发生心房颤动。5例患者的孤立右心耳显示出固有节律性活动,1例无电活动。右心房隔离术是一种安全有效的手术,可消除房间隔缺损手术矫正后心律失常患者的心房颤动。