Journal of Regional Anatomy and Operative Surgery 2017;26(10):738-741

doi:10.11659/jjssx.05E017080

Efficacy analysis of radiofrequency ablation for atrial fibrillation in patients with cardiac valve disease

dong Ye MI 1 ; fei Lin ZHANG ; mei Li SHAN ; xiang Xiang ZHENG ; Zhi LI ; jun Chen HUANG ; wei Jian QIN

Affiliations

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Keywords

atrial fibrillation; radiofrequency ablation; surgery; Maze procedure

Country

China

Language

Chinese

Abstract

Objective To investigate the clinical efficacy and prognosis of bipolar radiofrequency ablation for atrial fibrillation in patients with cardiac valve disease.Methods Sixty patients with atrial fibrillation and valvular heart diseases who merely underwent cardiac valve surgery were selected as the control group,and seventy-five patients who underwent bipolar radiofrequency ablation modified Maze procedure along with concomitant cardiac valve surgery were selected as the observation group.The perioperative technological characteristics and postoperative restoration of sinus rhythm in different time-points of the two groups were retrospectively analyzed.Results There was no significant differences in terms of the surgical pathway and types of replaced cardiac valves (P > 0.05),but the cardiopulmonary bypass time and aortic-cross clamping time of the observation group were significantly longer than those in the control group(P > 0.05).Successful restoration of sinus rhythm in the observation group was significantly higher than that of the control group 3 months,6 months,and 1 year after operation respectively.Conclusion Bipolar radiofrequency ablation modified Maze procedure along with concomitant cardiac valve surgery is clinically effective during the short term for the patients with atrial fibrillation and valvular heart diseases.