Abstract
Recovery of sinus rhythm after mitral valve surgery in patients with chronic atrial fibrillation lowers thromboembolic risk and improves survival and quality of life. This article reviews the principal surgical procedures devised in the 1980s and 1990s to treat atrial fibrillation during mitral valve operations. Advantages and drawbacks of the different techniques are discussed. Traditional atrial fibrillation surgery is technically demanding and increases operative morbidity. Simplified techniques, mostly limited to the left atrium, have been developed to reduce operation time and procedure-related complications. Intraoperative radiofrequency ablation has recently proven extremely effective in atrial fibrillation surgery, allowing a further simplification of the procedures. We report the results of an original technique for atrial fibrillation treatment during mitral valve surgery through epicardial radiofrequency ablation. Based on recently reported results of atrial fibrillation surgery and on prognostic considerations, specific treatment of both chronic and paroxysmal atrial fibrillation is indicated in virtually all affected patients undergoing mitral valve surgery.
| Original language | English |
|---|---|
| Pages (from-to) | 317-321 |
| Number of pages | 5 |
| Journal | Cardiology in Review |
| Volume | 8 |
| Issue number | 6 |
| Publication status | Published - 2000 |
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Keywords
- Arrhythmia surgery
- Atrial fibrillation
- Atrial fibrillation surgery
- Mitral valve surgery
- Radiofrequency ablation
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Mitral valve surgery with concomitant treatment of atrial fibrillation. / Alfieri, O.; Benussi, S.
In: Cardiology in Review, Vol. 8, No. 6, 2000, p. 317-321.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Mitral valve surgery with concomitant treatment of atrial fibrillation
AU - Alfieri, O.
AU - Benussi, S.
PY - 2000
Y1 - 2000
N2 - Recovery of sinus rhythm after mitral valve surgery in patients with chronic atrial fibrillation lowers thromboembolic risk and improves survival and quality of life. This article reviews the principal surgical procedures devised in the 1980s and 1990s to treat atrial fibrillation during mitral valve operations. Advantages and drawbacks of the different techniques are discussed. Traditional atrial fibrillation surgery is technically demanding and increases operative morbidity. Simplified techniques, mostly limited to the left atrium, have been developed to reduce operation time and procedure-related complications. Intraoperative radiofrequency ablation has recently proven extremely effective in atrial fibrillation surgery, allowing a further simplification of the procedures. We report the results of an original technique for atrial fibrillation treatment during mitral valve surgery through epicardial radiofrequency ablation. Based on recently reported results of atrial fibrillation surgery and on prognostic considerations, specific treatment of both chronic and paroxysmal atrial fibrillation is indicated in virtually all affected patients undergoing mitral valve surgery.
AB - Recovery of sinus rhythm after mitral valve surgery in patients with chronic atrial fibrillation lowers thromboembolic risk and improves survival and quality of life. This article reviews the principal surgical procedures devised in the 1980s and 1990s to treat atrial fibrillation during mitral valve operations. Advantages and drawbacks of the different techniques are discussed. Traditional atrial fibrillation surgery is technically demanding and increases operative morbidity. Simplified techniques, mostly limited to the left atrium, have been developed to reduce operation time and procedure-related complications. Intraoperative radiofrequency ablation has recently proven extremely effective in atrial fibrillation surgery, allowing a further simplification of the procedures. We report the results of an original technique for atrial fibrillation treatment during mitral valve surgery through epicardial radiofrequency ablation. Based on recently reported results of atrial fibrillation surgery and on prognostic considerations, specific treatment of both chronic and paroxysmal atrial fibrillation is indicated in virtually all affected patients undergoing mitral valve surgery.
KW - Arrhythmia surgery
KW - Atrial fibrillation
KW - Atrial fibrillation surgery
KW - Mitral valve surgery
KW - Radiofrequency ablation
UR - http://www.scopus.com/inward/record.url?scp=0033765128&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033765128&partnerID=8YFLogxK
M3 - Article
C2 - 11208251
AN - SCOPUS:0033765128
VL - 8
SP - 317
EP - 321
JO - Cardiology in Review
JF - Cardiology in Review
SN - 1061-5377
IS - 6
ER -