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Ann Thorac Surg 1998;65:1766-1768
© 1998 The Society of Thoracic Surgeons


Case Reports

Right Atrial Isolation for Atrial Fibrillation Associated With Atrial Septal Defect

Atsushi Harada, MDa, Takao Ida, MDa, Masatoshi Ikeshita, MDa

a Division of Cardiac Surgery, Sakakibara Heart Institution, and Second Department of Surgery, Division of Thoracic and Cardiovascular Surgery, Nippon Medical School, Tokyo, Japan

Accepted for publication December 13, 1997.

Address reprint requests to Dr Harada, Department of Cardiovascular Surgery, Ebina General Hospital, 1519 Kawaraguchi Ebina-city, Kanagawa, Japan 243-0433

Two patients with atrial fibrillation associated with an atrial septal defect underwent simultaneous surgical correction of the atrial septal defect and right atrial isolation. The right atrium was surgically isolated while the continuity with the sinoatrial node was preserved in the remainder of the heart. After the operation, the patients maintained normal sinus rhythm for 99 and 65 months. Thus, right atrial isolation offers an alternative to the current surgical treatment for atrial fibrillation associated with an atrial septal defect.







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