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Date Published: 02/11/2020
Online Published: 02/11/2020
Abstract Views: 418
Views PDF: 297
DOI: https://doi.org/10.47972/vjcts.v20i.87
Issue
Vol. 20
Section
Research Article
How to Cite
Phat, L. T. ., & Tien, T. Q. . (2020). Evaluation the application of cox maze procedure in treatment for atrial firillation combined with vavle disease. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 20, 58-63. https://doi.org/10.47972/vjcts.v20i.87

Evaluation the application of cox maze procedure in treatment for atrial firillation combined with vavle disease

Lam Trieu Phat , Tran Quyet Tien

Main Article Content

Abstract

A cross-sectional descriptive study of 45 patients is treated for atrial fibrillation by Cox- Maze procedure combined with valve surgery at Open Heart Surgery Department of Cho Ray Hospital from June 2016 to August 2017. In 45 patients, 15 males (33%), 30 females (67%), mean age 47 ± 9 (23-70 years). 06 cases (13%) were preopration stroke history. Thrombus in left atrial was 21 casses (46.7%). All patients had mitral valve disease, tricuspid valve regurgitation accompaned by 36 (80%). 100% of patients underwent Cox-Maze procedure was succeed with planed schema cryoblation. Recovery rate of sinus rhythm after surgery 67%. 02 patients need to put on a permanent pacemaker (4.4%). At the time of 6 months after surgery, 80% sinus rhythm recovery rate, no stroke. Cox-Maze procedure treatment for atrial fibrillation is safe and feasible with good early results in patients with heart valve surgery.*

Article Details

Keywords

Atrial fibrillation, Cox Maze procedure, mitral valve disease, mitral valve repair/replacement.

References

1. Ngô Vi Hải, Đặng Hanh Đệ, Nguyễn Trường Giang (2015) "Đánh giá sự thay đổi kích thước nhĩ trái trên bệnh nhân mổ tim có kết hợp phẫu thuật Maze điều trị rung nhĩ". Tạp chí Y học Việt Nam, 2 (4), tr.16-20.
2. Alireza Y, Mohsen R, Masoud P et al. (2013) “Evaluation of Early and Intermediate Outcomes of Cryo-Maze Procedure for Atrial Fibrillation”. Journal of Cardiovascular and Thoracic Research, 5(2), 55-59.
3. Choosak K, Piyawat L, Vibhan S et al. (2014). “Left atrial reduction in modified maze procedure with concomitant mitral surgery”. Asian Cardiovascular &Thoracic Annals, 22(4) 421–429. NGHIÊN CỨU ỨNG DỤNG PHẪU THUẬT MAZE ĐIỀU TRỊ RUNG NHĨ KẾT HỢP BỆNH LÝ VAN TIM 63
4. Haim, Hoshen, Reges, et al. (2015). “Prospective national study of the prevalence, incidence, management and outcome of a large contemporary cohort of patients with incident non-valvular atrial fibrillation. J Am Heart Assoc, 4: e001486.
5. Hwang SK, Yoo J.S, Kim J.B et al. (2015) “Long-Term Outcomes of the Maze Procedure Combined With Mitral Valve Repair: Risk of Thromboembolism Without Anticoagulation Therapy”. Ann Thorac Surg, 100:840–4.
6. Ishii Y, Nitta M et al. (2008) "Intraoperative verification of conduction block in atrial fibrillation surgery". J Thorac Cardiovasc Surg, 136 (4), 998-1004.
7. Je HG, Lee JW, Jung SH, et al (2009) “Risk factors analysis on failure of maze procedure: mid-term results”.European Journal of Cardio-thoracic Surgery, 36:272-279.
8. Kirchhof K, Benussi S, Kotecha D et al. (2016). “2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS”. European Heart Journal, Volume 37, 38: 2893–2962
9. Marc G.A, Gelijns A.C, Parides MK, et al. (2015) "Surgical Ablation of Atril Fibrillation during Mitral-Valve Surgery". New England Journal of Medicine, 372 (15), 1399 - 1409.
10. Yin Z, Wang H, Wang Z, et al. (2015) “The Midterm Results of Radiofrequency Ablation and Vagal Denervation in the Surgical Treatment of Long-Standing Atrial Fibrillation Associated with Rheumatic Heart Disease”. Thorac Cardiovasc Surg, 63:250–256.