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


     

Ann Thorac Surg 2008;86:1659-1663. doi:10.1016/j.athoracsur.2008.06.077
© 2008 The Society of Thoracic Surgeons
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):
Nicolas Doll
Markus Czesla
Michael A. Borger
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 Doll, N.
Right arrow Articles by Mohr, F.-W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Doll, N.
Right arrow Articles by Mohr, F.-W.
Related Collections
Right arrow Electrophysiology - arrhythmias
Right arrowRelated Article

New Technology

Ablation of Ganglionic Plexi During Combined Surgery for Atrial Fibrillation

Nicolas Doll, MD, PhDa,*, Patrick Pritzwald-Stegmann, MDa, Markus Czesla, MDa, Joerg Kempfert, MDa, Monika Anna Stenzel, MDb, Michael A. Borger, MD, PhDa, Friedrich-Wilhelm Mohr, MD, PhDa

a Department of Cardiac Surgery, Heart Center Leipzig, University of Leipzig, Leipzig, Germany
b Department of Cardiology, Heart Center Leipzig, University of Leipzig, Leipzig, Germany

Accepted for publication June 2, 2008.

* Address correspondence to Dr Doll, Heart Center Leipzig, Department of Cardiac Surgery, University of Leipzig, Struempellstr. 39, Leipzig, 04289, Germany (Email: dolln{at}medizin.uni-leipzig.de).

Purpose: Recent investigations into the treatment of atrial fibrillation have suggested improved outcomes after concomitant pulmonary vein isolation (PVI) and ganglionic plexi (GP) ablation. We investigated the impact of left atrial ablation with substrate modification (left atrial maze) or epicardial PVI, combined with GP mapping and ablation, in patients with paroxysmal or longstanding persistent atrial fibrillation undergoing additional off-pump or on-pump cardiac surgery.

Description: Twelve patients aged 74.9 ± 3.8 years, with atrial fibrillation for 4.5 ± 1.5 years, underwent left atrial maze or epicardial PVI, along with GP mapping and ablation during coronary bypass grafting with or without valve surgery. The GP mapping used high-frequency bipolar stimulation. The GP ablation and PVI were achieved using bipolar radiofrequency ablation. Conduction block was confirmed by pacing.

Evaluation: At 1-year follow-up, 83% of patients were in sinus rhythm. Echocardiography confirmed satisfactory bi-atrial contraction. Exercise-induced heart rate variability was appropriate. There were no early deaths.

Conclusions: Epicardial PVI, left atrial maze, GP mapping, and ablation for the treatment of atrial fibrillation can be effectively and safely performed during surgery for other cardiac pathologies.


Related Article

Invited Commentary
Randall K. Wolf
Ann. Thorac. Surg. 2008 86: 1663. [Extract] [Full Text] [PDF]



This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
R. K. Wolf
Invited Commentary
Ann. Thorac. Surg., November 1, 2008; 86(5): 1663 - 1663.
[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 © 2008 by The Society of Thoracic Surgeons.