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Date Published: 29/04/2021
Online Published: 26/06/2023
Abstract Views: 925
Views PDF: 300
DOI: https://doi.org/10.47972/vjcts.v32i.537
Issue
Vol. 32
Section
Research Article
How to Cite
Trong, D. D., Huy, D. Q., & Hien, N. S. . (2023). Evaluation of the early results of unipolar radiofrequency Maze procedure for atrial fibrillation in patients undergoing mitral valve surgery. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 32, 58-65. https://doi.org/10.47972/vjcts.v32i.537

Evaluation of the early results of unipolar radiofrequency Maze procedure for atrial fibrillation in patients undergoing mitral valve surgery

Do Duc Trong , Dang Quang Huy, Nguyen Sinh Hien

Main Article Content

Abstract

Introduction: The Maze procedure using the unipolar radiofrequency devices is an efficient method for atrial fibrillation (AF) in patients undergoing mitral valve surgery : Combined retrospective and prospecctive study; 50 patients who had the mitral valve disease with AF were performed the mitral valve surgeries and/or tricuspid valve repair, left atrial reduction and the Maze procedure using the unipolar radiofrequency devices. Open or minimally invasive surgery Result: Mean age: 53,44± 10,05; 90 % persistent AF and 10 % paroxysmal AF. The left atrial diameter before surgery and at discharge: 53,65±8,22 and 42,71±6,58 mm. Open surgery 84 % and minimally invasive surgery 16 %. Mitral valve replacement 84 %, mitral valve repair 16 %. Duration of cross-clamp aorta 98,68±20 minutes. Duration of cardiopulmonary bypass 140,18±41,04 minutes. The rates of free from AF and sinus recovery after surgery immediately, at discharge, 3 months, 6 months were 86 and 64 %; 94 and 84 %; 94 and 92 %; 94 and 89,2 %. 1 patient had the pacemaker after 3 months. Postoperative complications: Re-operative hemorrhage (2 %), renal failure (2 %), wound infection (2 %) Conclusion: The Maze procedure using the unipolar radiofrequency devices had a positive early result.

Article Details

Keywords

Maze procedure, the unipolar radiofrequency devices, atrial fibrillation, mitral valve surgery

References

1. Ngô Vi Hải. Nghiên cứu ứng dụng phẫu thuật Maze bằng năng lượng sóng có tần số radio (RF) điều trị rung nhĩ trên bệnh nhân mổ tim mở. Hà Nội; 2016.
2. Fuster V, Rydén LE, Cannom DS, Crijns HJ, Curtis AB, Ellenbogen KA, et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines and the European Society of Cardiology Committee for practice. Circulation. 2006;114(7):e257–354.
3. Gillinov AM, Gelijns AC, Parides MK, DeRose JJ, Moskowitz AJ, Voisine P, et al. Surgical Ablation of Atrial Fibrillation during Mitral-Valve Surgery. N Engl J Med. 2015;372(15):1399–409.
4. Sie HT, Beukema WP, Misier ARR, Elvan A, Ennema JJ, Haalebos MMP, et al. Radiofrequency modified maze in patients with atrial fibrillation undergoing concomitant cardiac surgery. J Thorac Cardiovasc Surg. 2001;122(2):249–56.
5. Dunning J, Nagendran M, Alfieri OR, Elia S, Kappetein AP, Lockowandt U, et al. Guideline for the surgical treatment of atrial fibrillation. Eur J Cardio-thoracic Surg. 2013;44(5):777–91.
6. Kasemsarn C, Lerdsomboon P, Sungkahaphong V, Chotivatanapong T. Left atrial reduction in modified maze procedure with concomitant mitral surgery. Asian Cardiovasc Thorac Ann. 2014;22(4):421–9.
7. Maltais S, Forcillo J, Bouchard D, Carrier M, Cartier R, Demers P, et al. Long-term results following concomitant radiofrequency modified maze ablation for atrial fibrillation. J Card Surg. 2010;25(5):608–13.
8. Chaiyaroj S, Ngarmukos T, Lertsithichai P. Predictors of sinus rhythm after radiofrequency maze and mitral valve surgery. Asian Cardiovasc Thorac Ann. 2008;16(4):292–7.
9. Johansson B, Houltz B, Berglin E, Brandrup-Wognsen G, Karlsson T, Edvardsson N. Short-term sinus rhythm predicts long-term sinus rhythm and clinical improvement after intraoperative ablation of atrial fibrillation. Europace. 2008;10(5):610–7.
10. Sie HT, Beukema WP, Elvan A, Ramdat Misier AR. Long-term results of irrigated radiofrequency modified maze procedure in 200 patients with concomitant cardiac surgery: Six years experience. Ann Thorac Surg. 2004;77(2):512–7.
11. Deneke T, Khargi K, Lemke B, Lawo T, Lindstaedt M, Germing A, et al. Intra-operative cooled-tip radiofrequency linear atrial ablation to treat permanent atrial fibrillation. Eur Heart J. 2007;28(23):2909–14.
12. Lâm Triều Phát, Trần Quyết Tiến. Nghiên cứu ứng dụng phẫu thuật maze điều trị rung nhĩ kết hợp bệnh lý van tim. Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam. 2018;20(5):58–63.
13. Khiabani AJ, MacGregor RM, Bakir NH, Manghelli JL, Sinn LA, Maniar HS, et al. The long-term outcomes and durability of the Cox-Maze IV procedure for atrial fibrillation. J Thorac Cardiovasc Surg [Internet]. 2020;2020 May 5(20):31065–5. Available from: https://doi.org/10.1016/j.jtcvs.2020.04.100
14. Damiano RJ, Schwartz FH, Bailey MS, Maniar HS, Munfakh NA, Moon MR, et al. The Cox maze IV procedure: Predictors of late recurrence. J Thorac Cardiovasc Surg. 2011;141(1):113–21.
15. Badhwar V, Rovin JD, Davenport G, Pruitt JC, Lazzara RR, Ebra G, et al. Left Atrial Reduction Enhances Outcomes of Modified Maze Procedure for Permanent Atrial Fibrillation During Concomitant Mitral Surgery. Ann Thorac Surg. 2006;82(5):1758–64.
16. Cox JL, Ad N, Churyla A, Malaisrie SC, Pham DT, Kruse J, et al. The Maze Procedure and Postoperative Pacemakers. Ann Thorac Surg [Internet]. 2018;106(5):1561–9. Available from: https://doi.org/10.1016/j.athoracsur.2018.05.013.