ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Jae Won Lee
Suk Jung Choo
Kun Il Kim
Hyun Song
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Lee, J. W.
Right arrow Articles by Song, M. G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lee, J. W.
Right arrow Articles by Song, M. G.
Related Collections
Right arrow Electrophysiology - arrhythmias

Ann Thorac Surg 2001;72:1479-1483
© 2001 The Society of Thoracic Surgeons

Original article: cardiovascular

Atrial fibrillation surgery simplified with cryoablation to improve left atrial function

Jae Won Lee, MD*a, Suk Jung Choo, MDa, Kun Il Kim, MDa, Jae Kwan Song, MDb, Duk Hyun Kang, MDb, Jong Min Song, MDb, Hyun Song, MDa, Sang Kwon Lee, MDa, Meong Gun Song, MDa

a Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan, Seoul, South Korea
b Division of Cardiology, Asan Medical Center, University of Ulsan, Seoul, South Korea

Accepted for publication July 30, 2001.

* Address reprint requests to Dr Lee, Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan, 388-1 Pungnap-dong, Songpa-gu, Seoul 138-736, South Korea
e-mail: jwlee{at}www.amc.seoul.kr

Background. The Maze procedure restores atrial fibrillation to normal sinus rhythm. However, concurrent left atrial functional recovery is not always achieved. To address this limitation, a modification using linear cryo-ablation is described.

Methods. Between July 1997 and December 1999, 83 patients received atrial fibrillation surgery in association with mitral valve surgery with or without additional concurrent procedures by either the conventional technique, group I (n = 30) or the modified technique, group II (n = 53). Onset of sinus conversion and echocardiographic assessment of postoperative left ventricular function, left atrial size, and mitral A-wave velocity were compared in the early postoperative period and 6 months after surgery.

Results. Sinus conversion occurred significantly earlier in group II, 2.4 ± 5 days versus group I, 7.0 ± 10 days. The mean transmitral A-wave velocity and the incidence of A-wave appearance in the early postoperative period and 6 months postoperatively were greater in group II than group I.

Conclusions. With the current modification, restoration of sinus rhythm and superior left atrial contractile function occurred earlier than with the standard Maze III technique.




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. Melo, T. Santiago, C. Aguiar, E. Berglin, M. Knaut, O. Alfieri, S. Benussi, H. Sie, M. Williams, F. Hornero, et al.
Surgery for atrial fibrillation in patients with mitral valve disease: Results at five years from the International Registry of Atrial Fibrillation Surgery.
J. Thorac. Cardiovasc. Surg., April 1, 2008; 135(4): 863 - 869.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
H. Song, D.-H. Kang, J. H. Kim, K.-M. Park, J.-M. Song, K.-J. Choi, M.-K. Hong, C. H. Chung, J.-K. Song, J.-W. Lee, et al.
Percutaneous Mitral Valvuloplasty Versus Surgical Treatment in Mitral Stenosis With Severe Tricuspid Regurgitation
Circulation, September 11, 2007; 116(11_suppl): I-246 - I-250.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
I. Bakir, F. P. Casselman, P. Brugada, P. Geelen, F. Wellens, I. Degrieck, F. Van Praet, Y. Vermeulen, R. De Geest, and H. Vanermen
Current Strategies in the Surgical Treatment of Atrial Fibrillation: Review of the Literature and Onze Lieve Vrouw Clinic's Strategy
Ann. Thorac. Surg., January 1, 2007; 83(1): 331 - 340.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Giamberti, M. Chessa, S. Foresti, R. Abella, G. Butera, C. de Vincentiis, M. Carminati, L. Menicanti, and A. Frigiola
Combined atrial septal defect surgical closure and irrigated radiofrequency ablation in adult patients.
Ann. Thorac. Surg., October 1, 2006; 82(4): 1327 - 1331.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. Q. Melo
Surgery for atrial fibrillation: Are we heading in the right direction?
J. Thorac. Cardiovasc. Surg., May 1, 2006; 131(5): 949 - 951.
[Full Text] [PDF]

Home page
 CirculationHome page
S. J. Hazel, H. S. Paterson, J. R.M. Edwards, and G. J. Maddern
Surgical Treatment of Atrial Fibrillation via Energy Ablation
Circulation, March 1, 2005; 111(8): e103 - e106.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
G. Golovchiner, A. Mazur, A. Kogan, B. Strasberg, Y. Shapira, M. Fridman, J. Kuzniec, B. A. Vidne, and E. Raanani
Atrial Flutter After Surgical Radiofrequency Ablation of the Left Atrium for Atrial Fibrillation
Ann. Thorac. Surg., January 1, 2005; 79(1): 108 - 112.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
S. J. Choo, N. H. Park, S. K. Lee, J. W. Kim, J. K. Song, H. Song, M. G. Song, and J. W. Lee
Excellent results for atrial fibrillation surgery in the presence of giant left atrium and mitral valve disease
Eur. J. Cardiothorac. Surg., August 1, 2004; 26(2): 336 - 341.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. T. Sie, W. P. Beukema, A. Elvan, and A. R. Ramdat Misier
Long-term results of irrigated radiofrequency modified maze procedure in 200 patients with concomitant cardiac surgery: six years experience
Ann. Thorac. Surg., February 1, 2004; 77(2): 512 - 517.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. Raman, S. Ishikawa, M. M. Storer, and J. M. Power
Surgical radiofrequency ablation of both atria for atrial fibrillation: results of a multicenter trial
J. Thorac. Cardiovasc. Surg., November 1, 2003; 126(5): 1357 - 1365.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
B. Akpinar, M. Guden, E. Sagbas, I. Sanisoglu, U. Ozbek, B. Caynak, and O. Bayindir
Combined radiofrequency modified maze and mitral valve procedure through a port access approach: early and mid-term results
Eur. J. Cardiothorac. Surg., August 1, 2003; 24(2): 223 - 230.
[Abstract] [Full Text] [PDF]

Home page
 Cardiovasc ResHome page
H. T Sie, W. P Beukema, A. Elvan, and A. R Ramdat Misier
New strategies in the surgical treatment of atrial fibrillation
Cardiovasc Res, June 1, 2003; 58(3): 501 - 509.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. W. Lee, N. H. Park, S. J. Choo, M. S. Jo, H. Song, and M. G. Song
Surgical outcome of the maze procedure for atrial fibrillation in mitral valve disease: rheumatic versus degenerative
Ann. Thorac. Surg., January 1, 2003; 75(1): 57 - 61.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Guden, B. Akpinar, I. Sanisoglu, E. Sagbas, and O. Bayindir
Intraoperative saline-irrigated radiofrequency modified Maze procedure for atrial fibrillation
Ann. Thorac. Surg., October 1, 2002; 74(4): S1301 - 1306.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2001 by The Society of Thoracic Surgeons.