Early and mid-term outcomes of concomitant cryosurgical Cox-Maze Ⅳ procedure in minimally invasive mitral valve surgery
- VernacularTitle:微创冷冻消融迷宫Ⅳ手术治疗二尖瓣病变合并心房颤动的近中期结果
- Author:
Long SONG
1
;
Liming LIU
1
;
Hao ZHANG
1
;
Jianguo HU
1
;
Cheng LUO
1
;
Benli YANG
1
Author Information
1. Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, 410011, P.R.China
- Publication Type:Journal Article
- Keywords:
Minimally invasive mitral valve surgery;
atrial fibrillation;
cryoablation;
Cox-Maze Ⅳ procedure
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(02):154-157
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the early and mid-term safety and effectiveness of concomitant cryosurgical Cox-Maze Ⅳ procedure in minimally invasive mitral valve surgery. Methods We retrospectively reviewed the clinical data of 68 patients (28 males and 40 females with a mean age of 38.7±9.3 years) who underwent concomitant cryosurgical Cox-Maze Ⅳ procedure in minimally invasive mitral valve and tricuspid surgery in the Department of Cardiovascular Surgery of the Second Xiangya Hospital from August 2013 to October 2017. The heart rhythm of the patients after surgery was supervised by 24 hour holter monitoring eletrocardiogram. Results No death occurred during operation and follow-up. One patient underwent reexploration for bleeding. The rate of sinus rhythm restored at the time of discharge was 95.8%. The rate of sinus rhythm restored at 6 months, 12 months, 24 months, 36 months after surgery was 93.5%, 91.6%, 90.3% and 89.5% respectively. Conclusion Concomitant cryosurgical Cox-Maze Ⅳ procedure in minimally invasive mitral valve surgery is quite safe and effective in treatment of rheumatic mitral valve disease and atrial fibrillation in the early and mid-term follow-up.
