scholarly journals Predicting Atrial Fibrillation After Mitral Valve Replacement

2003 ◽  
Vol 8 (1) ◽  
pp. 97-97 ◽  
Author(s):  
Bulent Gorenek ◽  
Salih Bakar ◽  
Gulmira Kudaiberdieva ◽  
Yuksel Cavusoglu ◽  
Omer Goktekin ◽  
...  
Heart ◽  
2010 ◽  
Vol 96 (14) ◽  
pp. 1126-1131 ◽  
Author(s):  
J. B. Kim ◽  
M. H. Ju ◽  
S. C. Yun ◽  
S. H. Jung ◽  
C. H. Chung ◽  
...  

2004 ◽  
Vol 20 (1) ◽  
pp. 29-29
Author(s):  
P Chandrasekar ◽  
S Muralidharan ◽  
KM Rao ◽  
R Sundra ◽  
SK Varma ◽  
...  

2016 ◽  
Vol 9 (1) ◽  
pp. 9-12
Author(s):  
Rampada Sarker ◽  
Manoz Kumar Sarker ◽  
Md Ataher Ali ◽  
Abdul Khaleleque Beg

Background: The Maze procedure is the surgical treatment that can alleviate the three complications of atrial fibrillation- tachycardia, thrombo-embolism and hemodynamic compromise. We attempted ablation of atrial fibrillation with monopolar eletrocautery.Our objective was to evaluate the results of surgical treatment of atrial fibrillation by ablation of the left atrial wallaround the pulmonary veins with conventional electrocautery during mitral valve replacement.Methods:This retrospective observational study was carried out in the Department of Cardiac Surgery, National Institute of cardiovascular diseases, Dhaka, Bangladesh,from January 2014 to February 2016. Ablation of AF with monopolar electrocautery was done during mitral valve replacement. Recurrence of atrial fibrillation, any new arrhythmia, complete heart block, bleeding and perforation was noted during the operation and in postoperative period. Patients were followed up upto three months after the surgery.Results: All the Patients were free from atrial fibrillation after the procedure. At discharge 100 %, after I month 96.2% and after 3 months 92.3 % patient were free from atrial fibrillation. No patients developed complete heart block requiring pace maker and there was no incidence of atrial perforation at the sites of ablation.Conclusion: The surgical treatment of the atrial fibrillation with elcetrocautery during mitral valve replacement is able to reverse this arrhythmia in a significant number of patients during short term follow-up without any complication.Cardiovasc. j. 2016; 9(1): 9-12


2017 ◽  
Vol 69 (4) ◽  
pp. 281-288 ◽  
Author(s):  
Al-Shimaa Mohamed Sabry ◽  
Heba Abd El-Kader Mansour ◽  
Tarek Helmy Abo El-Azm ◽  
Shimaa Ahmed Mostafa ◽  
Basant Samy Zahid

2019 ◽  
Vol 6 (4) ◽  
pp. 1159
Author(s):  
Megavath Motilal ◽  
Vijaya Rama Raju Nadakuditi ◽  
Alla Gopala Krishna Gokhale ◽  
Sudhakar Koneru ◽  
Manoj Kumar Moharana ◽  
...  

Background: Atrial fibrillation (AF) persisting after mitral valve surgery reduces survival due to heart failure and thrombo-embolisms and impairs quality of life. Restoration of the sinus rhythm might lead to a lower incidence of thrombo-embolism and valve-related complications in the postoperative period.Methods: This non-randomized prospective study was carried out between period April 2015 to December 2018 in the Department of Cardiothoracic and Vascular Surgery, Government General hospital, Guntur, Andhra Pradesh, India. A total of 80 patients underwent mitral valve replacement during the study period. 50 patients out of these were with atrial fibrillation and were part of this study, who underwent mitral valve replacement.Results: All fifty patients were in atrial fibrillation based on clinical examination and the echocardiogram. 13 patients preoperatively were in atrial fibrillation with fast ventricular rate. These patients were placed on antiarrhythmic drugs to control the ventricular rate prior to mitral valve replacement. After surgery twenty out of fifty (40%) patients reverted to NSR and maintained the same rhythm till the 6 months of follow-up. Twenty-nine (58%) patients continued in atrial fibrillation after surgery.Conclusions: The results of the present study showed that preoperative atrial rhythm strongly determines postoperative rhythm. In view of the promising results of combined mitral valve and anti-atrial fibrillation surgery, the inescapable conclusion is that the anti-arrhythmic procedure should be offered routinely to all patients with a history of preoperative AF.


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