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Ngày xuất bản: 19/07/2021
Ngày xuất bản Online: 26/07/2021
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DOI: https://doi.org/10.47972/vjcts.v33i.564
Số xuất bản
Tập 33
Chuyên mục
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Kien, H. T., Ba, V. V. ., Dung, L. T., Hung, N. M., Thinh, D. D., Linh, N. T. H., & Nguyen, T. T. (2021). Atrial arrhythmias ablation in a patient post mitral valve replacement surgery and cox-maze procedure. Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam, 33, 49-54. https://doi.org/10.47972/vjcts.v33i.564

Atrial arrhythmias ablation in a patient post mitral valve replacement surgery and cox-maze procedure

Kien Hoang Trung, Ba Vu Van , Dung Le Tien, Hung Nguyen Manh, Thinh Do Duc, Linh Ngo Thi Hai, Nguyen Tran Thuy

Nội dung chính của bài viết

Tóm tắt

Objective: Cox Maze procedure is an effective surgical treatment of atrial fibrillation and it is often performed concomitantly with mitral valve surgery. However, some patients still experience atrial tachyarrhythmia post-surgery, which adversely affects heart function as well as their quality of life. Method: We present the case of a 66-year-old female patient who underwent mitral valve replacement with a bio-prosthesis and Cox-Maze procedure; she was later admitted to our center after 14 months due to pneumonia and atrial tachycardia. An electrophysiology study/ intervention was performed. Result: We successfully determined the mechanism and ablated the atrial tachyarrhythmia. The sinus rhythm was restored and was maintained 3 months post-procedure, with amelioration of the left ventricular function. Conclusion: Electrophysiology study with electro-anatomy mapping can help to determine the mechanism of arrhythmia to guide successful ablation of post-operative arrhythmia

Chi tiết bài viết

Từ khóa

Cox Maze procedure, atrial fibrillation, Mitral valve surgery, Case report

Tài liệu tham khảo

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