Fragmentaiom operation in left atrium for correction of isolated mitral valve disease

  • V. V. Popov National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • V. V. Roy National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • K. V. Pukas National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • S. G. Klymenko National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • S. P. Spysarenko National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • T. A. Malysheva National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
Keywords: mitral valve disease, arrhythmia, surgical rhythm’s renewal, cardio-pulmonary bypass

Abstract

Aim of investigation is to research possibilities of intraoperative renewal of sinus rhythm by proposed method during mitral valve replacement (MVR).

In analyzed group are included 261 patients with isolated mitral valve disease in IV stage who were operated in Institute. In 261 patients underwent MVR with operation Labyrinth. Plasty of left atrium (LA) was performed in 139 (59,3%) patients for prevention spread of re-entry waves. Operation of LA’s fragmentation (Maze-3,4) was performed in all cases by radio-frequency method (25-30 watt), and also with ligation and resection of LA`s auricle. Among 261 operated patients 5 patients died on a hospital stage. Renewal of sinus rhythm in group pts with LA’s plasty was in 85,7%, than is higher than in alternative group 74,5% (р<0,05).

MVR with operation Maze allows successfully renew sinus rhythm on a hospital stage and stabilize it well during half-year after operation.

References

1. Su Kyung Hwang et al Long-term outcomes of the maze procedure combined with mitral valve repair: risk of trombembolism without anticoagulation therapy // Ann Thorac. Surg. – 2015. – Vol. 100. – P. 840–844.

2. Kim G. et al. Long-term outcome of modified maze procedure combined with mitral valve surgery // J. Thoracic Cardiovac. Surgery. – 2010 – Vol.139. – P. 111–117.

3. Лазоришинец В. В., Попов В. В. Хирургическое лечение митрального порока, осложненного фибрилляцией предсердий. – К., 2015. – С. 157.

4. Подчасов Д. А. Пластика левого предсердия при пороке митрального клапана: дис. на соиск. учен. степ. канд. мед. наук; спец. 14.00.44 – сердечно-сосудистая хирургия. – М., 2005. – 256 с.

5. Прибытков М. В. Отдаленные результаты одномоментной хирургической коррекции фибрилляции предсердий и ревматического митрального порока: дис. на соиск. учен. степ. канд. мед. наук; спец. 14.00.44 – сердечно-сосудистая хирургия. – М., 2004. – 231 с.

6. Раскин В. В. Атриопластика левого предсердия у больных с митральным пороком сердца: дис. на соиск. учен. степ. канд. мед. наук; спец. 14.00.44 – сердечно-сосудистая хирургия. – М., 2006. – 275 с.

7. Рычин С. В. Операция «лабиринт» при хирургическом лечении фибрилляции предсердий у больных с пороком митрального клапана: эволюция методов и результаты: дис. на соиск. учен. степ. канд. мед. наук; спец. 14.00.44 – сердечно-сосудистая хирургия. – М., 2004. – 295 с.

8. Kim G. et al. Echocardiographic evaluation of mitral durability following valve repair in rhematic mitral valve diseases: impact of maze procedure // J. Thoracic Cardiovac. Surgery. – 2014. – Vol. 147. – P. 247–253.

9. Weimar T. et al. The Cox-maze procedure for lone atrial fibrillation // Circ. Arrhythm. Electroph. – 2012. – Vol. 5. – Р. 8–14.
Published
2016-12-02
How to Cite
Popov, V. V., Roy, V. V., Pukas, K. V., Klymenko, S. G., Spysarenko, S. P., & Malysheva, T. A. (2016). Fragmentaiom operation in left atrium for correction of isolated mitral valve disease. Ukrainian Journal of Cardiovascular Surgery, (3 (26), 41-43. Retrieved from https://cvs.org.ua/index.php/ujcvs/article/view/200
Section
ACQUIRED HEART DISEASES

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