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):
Leif Nilsson
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 Lönnerholm, S.
Right arrow Articles by Blomström-Lundqvist, C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lönnerholm, S.
Right arrow Articles by Blomström-Lundqvist, C.
Related Collections
Right arrow Electrophysiology - arrhythmias

Ann Thorac Surg 2002;73:107-111
© 2002 The Society of Thoracic Surgeons

Original article: cardiovascular

Atrial size and transport function after the Maze III procedure for paroxysmal atrial fibrillation

Stefan Lönnerholm, MD*a, Per Blomström, MDa, Leif Nilsson, MDb, Carina Blomström-Lundqvist, MDa

a Department of Cardiology, University Hospital, Uppsala, Sweden
b Department of Cardiovascular and Thoracic Surgery, University Hospital, Uppsala, Sweden

Accepted for publication September 5, 2001.

* Address reprint requests to Dr Lönnerholm, Department of Cardiology, University Hospital, 751 85 Uppsala, Sweden

Background. The Maze procedure is a curative surgical therapy for atrial fibrillation, restoring sinus rhythm and improving quality of life. Because the procedure results in tissue scarring, the atrial transport function is most likely affected.

Methods. Seventeen patients with paroxysmal atrial fibrillation underwent the Maze III procedure without any concomitant valve operation. Atrial size and transport function were measured before and at 2, 6, and 24 months after operations with two-dimensional echocardiography and pulsed-wave Doppler.

Results. Fifteen patients (88%) had signs of left atrial contractions as shown by the presence of a transmitral atrial filling wave on Doppler echocardiography at 6 months follow-up. The transmitral early filling wave and atrial filling wave were measured to calculate the early filling/atrial filling wave ratio, which increased from 1.2 before to 1.9 at 2 months after the Maze procedure (nonsignificant), and further to 2.8 at 24 months (p = 0.02). A decrease in the right and left atrial size was seen at 2 months after an operation, but no further decrease occurred.

Conclusions. In patients with paroxysmal atrial fibrillation, there is a progressive increase in the transmitral early filling/atrial filling wave ratio after the Maze procedure, consistent with a gradual decrease in the left atrial transport function.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
S. Lonnerholm, P. Blomstrom, L. Nilsson, and C. Blomstrom-Lundqvist
Long-Term Effects of the Maze Procedure on Atrial Size and Mechanical Function
Ann. Thorac. Surg., March 1, 2008; 85(3): 916 - 920.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
G. Casaclang-Verzosa, B. J. Gersh, and T. S.M. Tsang
Structural and functional remodeling of the left atrium: clinical and therapeutic implications for atrial fibrillation.
J. Am. Coll. Cardiol., January 1, 2008; 51(1): 1 - 11.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
G. Bonanomi, D. Schwartzman, D. Francischelli, K. Hebsgaard, and M. A. Zenati
A new device for beating heart bipolar radiofrequency atrial ablation
J. Thorac. Cardiovasc. Surg., December 1, 2003; 126(6): 1859 - 1866.
[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
 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 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 © 2002 by The Society of Thoracic Surgeons.