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Interactive Cardiovascular and Thoracic Surgery 2:160-165(2003)
© 2003 European Association of Cardio-Thoracic Surgery


Institutional review - Arrhythmia

Surgical treatment of permanent atrial fibrillation during heart valve surgery

Stephan Geidela,*, Michael Lassa, Sigrid Boczorb, Karl-Heinz Kuckb and Jörg Ostermeyera

a Department of Cardiac Surgery, AK St.Georg, Lohmühlenstraße 5, 20099 Hamburg, Germany
b Department of Cardiology, AK St.Georg, Lohmühlenstraße 5, 20099 Hamburg, Germany

* Corresponding author. Tel.: +49-40-2890-4150; fax: +49-2890-4184
stgeidel{at}aol.com

A simple strategy to abolish permanent atrial fibrillation (AF) in patients undergoing heart valve surgery is described. The concept includes: (1) endocardial radiofrequency (RF) ablation creating two encircling isolation lesions around the left and the right pulmonary veins (LPV, RPV) and a connection line between both; (2) antiarrhythmic protection with amiodarone for 3 months. Between 02/01 and 02/02 29 patients underwent surgical AF ablation procedures associated with primary valve operations (mitral, ; aortic, ; aortic+mitral, ). Six months after surgery 87.5% (14 of 16) were in sinus rhythm (SR), particularly all patients with an LA diameter of <56mm had SR.

Key Words: Atrial fibrillation; Atrial fibrillation surgery; Radiofrequency ablation; Arrhythmia surgery; Heart valve surgery; Maze surgery




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M. Jahangiri, G. Weir, K. Mandal, I. Savelieva, and J. Camm
Current strategies in the management of atrial fibrillation.
Ann. Thorac. Surg., July 1, 2006; 82(1): 357 - 364.
[Abstract] [Full Text] [PDF]


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Eur. J. Cardiothorac. Surg.Home page
S. Geidel, J. Ostermeyer, M. Lass, M. Betzold, A. Duong, F. Jensen, S. Boczor, and K.-H. Kuck
Three years experience with monopolar and bipolar radiofrequency ablation surgery in patients with permanent atrial fibrillation
Eur. J. Cardiothorac. Surg., February 1, 2005; 27(2): 243 - 249.
[Abstract] [Full Text] [PDF]




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