scholarly journals Simultaneous Surgical Treatment for Atrial Fibrillation and Mitral Valve Disease.

1994 ◽  
Vol 23 (3) ◽  
pp. 172-178 ◽  
Author(s):  
Shigeo Yamauchi ◽  
Tetsuo Asano ◽  
Atsushi Harada ◽  
Masatoshi Ikeshita ◽  
Shigeo Tanaka ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Surgical Treatment ◽  
Mitral Valve ◽  
Mitral Valve Disease ◽  
Valve Disease

scholarly journals Dynamics of echocardiography parameters after circular PADN procedure in patients with mitral valve defects, atrial fibrillation, and high pulmonary hypertension

2019 ◽  
Vol 34 (3) ◽  
pp. 129-143
Author(s):  
N. A. Trofimov ◽  
A. P. Medvedev ◽  
V. E. Babokin ◽  
A. G. Dragunov ◽  
V. A. Kichigin ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Hypertension ◽  
Surgical Treatment ◽  
Mitral Valve ◽  
Mitral Valve Disease ◽  
Pulmonary Arteries ◽  
Surgical Correction ◽  
Valve Disease ◽  
Severe Pulmonary Hypertension ◽  
Radiofrequency Denervation

Aim. To analyze the dynamics of echocardiographic parameters after surgical treatment of severe pulmonary hypertension in patients with mitral valve disease and atrial fibrillation.Material and Methods. Data of surgical treatment in 202 patients with mitral valve disease complicated by severe pulmonary hypertension with blood pressure more than 40 mm Hg and atrial fibrillation were analyzed. Surgical intervention in these patients consisted in surgical correction of mitral dysfunction with artificial prosthetic valve or valve-preserving intervention (group 1, n = 62). In patients of group 2 (n = 89), correction of mitral valve defect was also performed as well as the Maze IV procedure for concomitant atrial fibrillation using bipolar radiofrequency ablator AtriCure. Patients of group 3 (n = 51) underwent integrated surgery, which consisted in the elimination of mitral valve defect, surgical correction of atrial fibrillation by Maze IV procedure, as well as circular radiofrequency denervation of the trunk and mouth of the pulmonary arteries (pulmonary artery denervation (PADN)).Conclusions. The circular PADN procedure was effective and safe, significantly reduced the level of pulmonary hypertension in the postoperative period (p = 0.018), and promoted reverse remodeling of the heart cavities. Integrated surgical correction in patients with mitral dysfunction, atrial fibrillation, and severe pulmonary hypertension may significantly reduce the phenomenon of heart failure (p = 0.023). Further analysis of the effectiveness of radiofrequency denervation of pulmonary arteries with the study of a larger number of patients, analysis of long-term results, as well as determining the possibility of this technique in patients with non-valvular forms of pulmonary hypertension are required. 

A modified maze procedure performed only on the left atrium for chronic atrial fibrillation associated with mitral valve disease: Report of a case

Surgery Today ◽  
1996 ◽  
Vol 26 (2) ◽  
pp. 135-137 ◽  
Author(s):  
Taijiro Sueda ◽  
Hiroo Shikata ◽  
Kazumasa Orihashi ◽  
Norimasa Mitsui ◽  
Hideyuki Nagata ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Mitral Valve ◽  
Left Atrium ◽  
Mitral Valve Disease ◽  
Chronic Atrial Fibrillation ◽  
Valve Disease ◽  
Maze Procedure

Mitral Valve Disease and Hypertension

1968 ◽  
Vol 13 (5) ◽  
pp. 152-158 ◽  
Author(s):  
H. C. Laurie
Keyword(s):  
Atrial Fibrillation ◽  
Mitral Valve ◽  
General Population ◽  
Mitral Valve Disease ◽  
Diastolic Pressure ◽  
Valve Disease ◽  
Renal Infarction ◽  
Post Mortem ◽  
Post Mortem Findings ◽  
Mitral Valvotomy

The case records of 187 patients with mitral valve disease were studied to assess whether hypertension occurred more commonly than in the general population and if so what mechanism might be involved. Hypertension (diastolic pressure > 90 mm. Hg) was commoner in patients with mitral valve disease only in the presence of atrial fibrillation. Blood pressure values of those in sinus rhythm tended to be lower than those of the general population. Mitral valvotomy was found to reduce the incidence of hypertension and peripheral embolism even in those with atrial fibrillation. Post-mortem findings, although small in number, supported the evidence that renal infarction is associated with hypertension in those with mitral valve disease. We suggest that these findings provide further evidence that hypertension in mitral valve disease results from renal emboli following atrial fibrillation.

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