一种左心房手术治疗老年慢性心房颤动的疗效

Efficacy of a left atrial procedure for treatment of chronic atrial fibrillation in elderly patients.

作者信息

Sueda T, Imai K, Orihashi K, Shikata H, Wada S, Hirai S, Morita S, Matsuura Y

机构信息

First Department of Surgery, Hiroshima University School of Medicine, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.

出版信息

Ann Thorac Cardiovasc Surg. 1998 Aug;4(4):201-4.

PMID:9738121

Abstract

A simple left atrial procedure for atrial fibrillation (AF) was performed in 16 elderly patients (age over 70 years old) with chronic AF associated with mitral and/or aortic valvular diseases. Chronic AF was eliminated upon discharge in 13 out of the 16 patients (81%). Twelve of the 13 patients (92%) whose AF had disappeared recovered the atrial kick of their right atrium, and 9 patients (70%) recovered the atrial kick of their left atrium. A simple surgical procedure to the left atrium was effective in the treatment of chronic AF associated with mitral valve disease in elderly patients. This simple procedure is preferable to other methods for the elimination of chronic AF with mitral valve disease in elderly patients.

摘要

对16例年龄超过70岁、患有与二尖瓣和/或主动脉瓣疾病相关的慢性心房颤动（AF）的老年患者进行了一种简单的左心房手术。16例患者中有13例（81%）在出院时慢性AF消失。13例AF消失的患者中有12例（92%）恢复了右心房的心房收缩，9例（70%）恢复了左心房的心房收缩。一种简单的左心房手术对治疗老年患者与二尖瓣疾病相关的慢性AF有效。对于老年二尖瓣疾病患者消除慢性AF，这种简单的手术比其他方法更可取。