| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2002;73:1457-1459
© 2002 The Society of Thoracic Surgeons
a Department of Cardio-Thoracic Surgery, Nagoya University Graduate School of Medicine Nagoya, Japan
b First Department of Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
Accepted for publication February 6, 2002.
* Address reprint requests to Dr Usui, 65 Tsurumai, Showa-ku, Nagoya 466-8550, Japan
e-mail: ausui{at}med.nagoya-u.ac.jp
Background. Of 41 patients who had undergone a left-sided simple maze procedure, 4 (9.8%) developed repetitive tachycardia due to atrial flutter, and required radiofrequency catheter ablation. Linear ablation of the right atrial isthmus was effective to treat atrial flutter.
Methods. We conducted an electrophysiologic study of atrial flutter and determined its reentry circuit on the atrium. We consider how to reduce atrial flutter after the left-sided simple maze procedure.
Results. Common atrial flutter through the right atrial isthmus was induced in all 4 patients, and linear ablation on the right atrial isthmus was effective in 3 of these. An incisional atrial flutter around the right atriotomy was also induced in 2 of 4 patients; both were successfully treated by linear ablation between the right atriotomy and the inferior vena cava.
Conclusions. Common atrial flutter through the right atrial isthmus is a risk after the left-sided simple maze procedure. When a left-sided simple maze procedure is performed, sufficient cryoablation on the right atrial isthmus of the arrested heart should be administered to prevent postoperative atrial flutter.
This article has been cited by other articles:
|
|
 |
|
  A. Pozzoli, S. Benussi, F. Anzil, M. Taramasso, Y. A. Privitera, D. Cianflone, P. D. Bella, and O. Alfieri Electrophysiological efficacy of Epicor high-intensity focused ultrasound Eur J Cardiothorac Surg, July 1, 2012; 42(1): 129 - 134. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Benussi, A. Galanti, V. Zerbi, Y. A. Privitera, I. Iafelice, and O. Alfieri Electrophysiologic efficacy of irrigated bipolar radiofrequency in the clinical setting J. Thorac. Cardiovasc. Surg., May 1, 2010; 139(5): 1131 - 1136. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. M. Patel, A. d'Avila, P. Neuzil, S. J. Kim, MSEE, T. Mela, J. P. Singh, J. N. Ruskin, and V. Y. Reddy Atrial Tachycardia After Ablation of Persistent Atrial Fibrillation: Identification of the Critical Isthmus With a Combination of Multielectrode Activation Mapping and Targeted Entrainment Mapping Circ Arrhythm Electrophysiol, April 1, 2008; 1(1): 14 - 22. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. S. C. Geuzebroek, P. K. E. W. Ballaux, N. M. van Hemel, J. C. Kelder, and J. J. A. M. T. Defauw Medium-term outcome of different surgical methods to cure atrial fibrillation: is less worse? Interact CardioVasc Thorac Surg, April 1, 2008; 7(2): 201 - 206. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. T. McElderry, D. C. McGiffin, V. J. Plumb, K. Nanthakumar, A. E. Epstein, T. Yamada, and G. N. Kay Proarrhythmic Aspects of Atrial Fibrillation Surgery: Mechanisms of Postoperative Macroreentrant Tachycardias Circulation, January 15, 2008; 117(2): 155 - 162. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Onorati, A. Esposito, G. Messina, A. di Virgilio, and A. Renzulli Right Isthmus Ablation Reduces Supraventricular Arrhythmias After Surgery for Chronic Atrial Fibrillation Ann. Thorac. Surg., January 1, 2008; 85(1): 39 - 48. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. K. Voeller, R. B. Schuessler, and R. J. Damiano Jr. Surgical Treatment of Atrial Fibrillation , January 1, 2008; 3(2008): 1375 - 1394. [Full Text]
|
|
|
|
|
|
A. M. Gillinov Choice of Surgical Lesion Set: Answers From the Data Ann. Thorac. Surg., November 1, 2007; 84(5): 1786 - 1792. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Mack, F. Milla, W. Ko, L. N. Girardi, L. Y. Lee, A. J. Tortolani, J. Mascitelli, K. H. Krieger, and O. W. Isom Surgical Treatment of Atrial Fibrillation Using Argon-Based Cryoablation During Concomitant Cardiac Procedures Circulation, August 30, 2005; 112(9_suppl): I-1 - I-6. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
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]
|
|
|
|
|
|
M. A. Romano, D. S. Bach, F. D. Pagani, R. L. Prager, G. M. Deeb, and S. F. Bolling Atrial reduction plasty Cox maze procedure: extended indications for atrial fibrillation surgery Ann. Thorac. Surg., April 1, 2004; 77(4): 1282 - 1287. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
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]
|
|
|
|
|
|
V. Vijay and J. P. Gold Late Complications of Cardiac Surgery , January 1, 2003; 2(2003): 521 - 537. [Full Text]
|
|
|
|
|
|
A. M. Gillinov, E. H. Blackstone, and P. M. McCarthy Atrial fibrillation: current surgical options and their assessment Ann. Thorac. Surg., December 1, 2002; 74(6): 2210 - 2217. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Hornero, J. A. Montero, S. Canovas, and M. Bueno Biatrial radiofrequency ablation for atrial fibrillation: epicardial and endocardial surgical approach Interact CardioVasc Thorac Surg, December 1, 2002; 1(2): 72 - 77. [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 |
