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Ann Thorac Surg 2001;71:1939-1944
© 2001 The Society of Thoracic Surgeons
a Division of Cardiothoracic Surgery, College of Physicians and Surgeons, Columbia University, New York, New York, USA
b Penrose Hospital, Colorado Springs, Colorado, USA
c Division of Cardiothoracic Surgery, University of Michigan, Ann Arbor, Michigan, USA
Address reprint requests to Dr Williams, College of Physicians and Surgeons, P&S 17-401, 630 West 168 St, New York, NY 10032
e-mail: mw365{at}columbia.edu
Presented at the Forty-seventh Annual Meeting of the Southern Thoracic Surgical Association, Marco Island, FL, Nov 9–11, 2000.
Background. The Maze III procedure for atrial fibrillation (AF) is effective but has not been used widely due to its complexity, bleeding risk, and added operative time. Surgical radiofrequency ablation may simplify the procedure and make intraoperative correction of AF more accessible and widely performed.
Methods. Endocardial pulmonary venous isolation was performed on 48 patients with AF undergoing concurrent operation using temperature-controlled radiofrequency energy delivered through a hand-held flexible probe. Additional right-sided lesions were made at the surgeon’s discretion.
Results. Forty-two patients were appropriate for analysis (6 died). These patients had an AF duration of 4.8 ± 6.4 years. At a mean follow-up of 138 ± 96 days, 34 patients were in sinus rhythm. We were unable to demonstrate a difference in outcome based on AF duration, left atrial size, or addition of right-sided lesions.
Conclusions. Radiofrequency atrial ablation was effective in 81% of patients with AF at restoring sinus rhythm at an average follow-up of 4 months. This procedure is simple to perform and should broaden the number of patients that receive an AF treatment procedure during concurrent cardiac operation.
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