Rung nhĩ và nhồi máu não ở bệnh nhân sau vá thông liên nhĩ: Vai trò của phẫu thuật MAZE

Dang Quang Huy , Nguyen Minh Ngoc , Le Ngoc Thanh

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Abstract

Atrial arrythmia was a usual complication in patients with atrial septal defect (ASD). Even though it was  a  risk  factor  for  stroke,  this condition was often not given adequate follow-up and treatment. We reported a clinical case of a 54-year-old patient  with  secundum  ASD  and atrial fibrillation. The patient was undergone totally endoscopic surgery for ASD closure and tricuspid annuloplasty. Stroke occurred at day 3 postoperatively, due to an obstructive thrombosis in the second segment of the left middle cerebral artery. Urgence percutaneous angioplasty was indicated   and   the   patient   was   then   fully recovered. The purpose of this report was to analyze the role and advantage of the Maze procedure in ASD patients with atrial fibrillation.

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References

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