Long-term outcomes of surgical closure of atrial septal defects and concomitant surgical radiofrequency ablation for atrial fibrillation
10.7507/1007-4848.201608004
- VernacularTitle:房间隔缺损手术同期心房颤动外科射频消融的远期疗效分析
- Author:
HAN Bo
1
;
WANG Junjie
1
Author Information
1. Department of Cardiothoracic Surgery, Baogang Hospital, Baotou, 014010, Inner Mongolia, P.R.China
- Publication Type:Journal Article
- Keywords:
Atrial septal defect;
atrial fibrillation;
radiofrequency ablation;
long-term outcomes
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2017;24(10):779-782
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate long-term outcomes of surgical closure of atrial septal defect (ASD) and combined surgical radiofrequency ablation for atrial fibrillation (AF). Methods A total of consecutive 15 patients with ASD undergoing surgical closure of ASD and combined surgical radiofrequency ablation in our department between March 2003 and April 2015. There were 7 males and 8 females at an average age of 47.1±10.8 years ranging from 16 to 62 years. Retrospective analysis and follow-up were performed to evaluate long-term success rate freedom from AF after surgery. Results All patients recovered and discharged, and no patient suffered death or stroke. The duration of follow-up was from 3 to 136 months for all patients. Success rate freedom from AF at 1, 3, 5 and 10 years was 81.3%, 75.0%, 68.8% and 61.1%, respectively. During follow-up, there was no death or stroke. One patient required permanent pacemaker implantation. Conclusion Concomitant surgical closure of ASD and biatrial radiofrequency ablation is safe and effetive with better long-term outcomes. It is necessary to perform the two procedures together for ASD patients.
