Simple left atrial procedure for chronic atrial fibrillation associated with mitral valve disease.
Simple left atrial procedure for chronic atrial fibrillation associated with mitral valve disease.
复制标题
简单的左心房手术治疗与二尖瓣疾病相关的慢性心房颤动。
DOI：
10.1016/s0003-4975(96)00613-3
复制
发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Y. Matsuura
中科院分区：
文献类型：
--
作者：
T. Sueda;H. Nagata;H. Shikata;K. Orihashi;S. Morita;M. Sueshiro;K. Okada;Y. Matsuura
应用48导标测系统研究孤立性二尖瓣病变患者慢性心房颤动（房颤）时的心房心外膜电图特征。我们已经设计了一个简单的左心房程序，以消除慢性AF在二尖瓣operation.MethodsUsing这个映射系统，我们进行术中心房映射11例慢性AF与二尖瓣疾病。房颤持续时间为0.4 - 15年（平均8.0 ± 4.5年）。一个简单的手术消融的AF左心房只进行在二尖瓣operation.ResultsThe心房的平均AF周期长度范围从129到169毫秒在右心房和从114到139毫秒在左心房。左心房的平均AF周期长度短于右心房。11例患者中7例左心房有规律性和重复性激动。AF消失在所有患者的手术后立即，这些患者中的10例继续有窦性心律术后（AF免费率，91%）。ConclusionsComputerized术中映射显示较短的平均AF周期长度在左心房。简单的左心房手术可有效消除与孤立性二尖瓣疾病相关的慢性AF。
BackgroundA computerized 48-channel mapping system was used to investigate the characteristics of an atrial epicardial electrogram during chronic atrial fibrillation (AF) in patients with solitary mitral valve disease. We have devised a simple left atrial procedure to eliminate the chronic AF during a mitral valve operation.MethodsUsing this mapping system, we performed intraoperative atrial mapping in 11 patients with chronic AF associated with mitral valve disease. The AF duration ranged from 0.4 to 15 years (mean, 8.0 ± 4.5 years). A simple surgical ablation of the AF on the left atrium only was performed during the mitral valve operation.ResultsThe mean AF cycle length of the atria ranged from 129 to 169 milliseconds in the right atrium and from 114 to 139 milliseconds in the left atrium. The mean AF cycle length of the left atrium was shorter than that of the right atrium. Regular and repetitive activation was found in the left atria of 7 of 11 patients. The AF disappeared in all patients immediately after the operation, and 10 of these patients continued to have a sinus rhythm postoperatively (AF-free rate, 91%).ConclusionsComputerized intraoperative mapping revealed a shorter mean AF cycle length in the left atrium. A simple left atrial procedure was effective in eliminating chronic AF associated with solitary mitral valve disease.
DOI：
10.1016/s0022-5223(19)36684-x
发表时间：
1991-04-01
影响因子：
6
作者：
COX, JL;SCHUESSLER, RB;BOINEAU, JP
通讯作者：
BOINEAU, JP
DOI：
10.1146/annurev.med.48.1.511
发表时间：
1997
期刊：
Annual review of medicine.
影响因子：
--
作者：
Cox,JL;Sundt3rd,TM
通讯作者：
Sundt3rd,TM
DOI：
10.1016/s0022-5223(19)36723-6
发表时间：
1991-03-01
影响因子：
6
作者：
COX, JL;CANAVAN, TE;BOINEAU, JP
通讯作者：
BOINEAU, JP