Scopus
YÖKSİS Eşleşti
Effect of Left Atrial Reduction on Restoration and Maintenance of Sinus Rhythm in Patients Undergoing Mitral Valve Replacement: A Pilot Study
Thoracic and Cardiovascular Surgeon · Ağustos 2016
YÖKSİS Kayıtları
Effect of Left Atrial Reduction on Restoration and Maintenance of Sinus Rhythm in Patients Undergoing Mitral Valve Replacement: A Pilot Study
The Thoracic and Cardiovascular Surgeon · 2016 SCI-Expanded
DOÇENT ÖMER FARUK ÇİÇEK →
Makale Bilgileri
DergiThoracic and Cardiovascular Surgeon
Yayın TarihiAğustos 2016
Cilt / Sayfa64 · 441-446
Scopus ID2-s2.0-84939630509
Özet
Background This pilot study aimed to evaluate the effectiveness of posterior left atrial wall plication (T-plasty) in patients with persistent atrial fibrillation (AF) (> 7 days) undergoing mitral valve surgery. Materials and Methods A total of 60 patients who were scheduled for mitral valve replacement were randomly allocated into two groups: one would receive (Group 1; n = 32, mean age; 49.37 ± 9.00) and one would not receive (Group 2; n = 28; mean age 48.64 ± 8.6) left atrial size reduction using T-plasty technique. Patients with a clear indication for combined procedures other than tricuspid valve disease, aortic valve disease, and coronary artery stenosis were not included. Follow-up was performed at 6th, 12th, and 18th months after the operation. Results After the operation, 21 patients (65.6%) in Group 1 and 13 patients (46.4%) in Group 2 regained sinus rhythm (p = 0.13). Mortality did not occur. AF recurrence rates were not significantly different between the groups in three follow-ups. Restoration of sinus rhythm was significantly more common in Group 1 patients than in Group 2 patients during follow-up. Patients in Group 1 had lower left atrial volume indexes than those in Group 2 at the 6th and 12th months, whereas the difference at the 18th month was at the limit of significance. Conclusion We achieved satisfactory results using the T-plasty technique for left atrial size reduction in terms of mid-term restoration and preservation of normal sinus rhythm in patients undergoing mitral valve surgery. Further study may be justified to reveal the prognostic importance of the technique described herein.
Yazarlar (8)
1
Adnan Yalçinkaya
2
Adem Diken
3
Eray Aksoy
4
Gökhan Lafçi
ORCID: 0000-0002-0639-4341
5
Ömer Faruk Çiçek
ORCID: 0000-0002-4675-3273
6
Ersin Kadirogullari;
7
Umit Deniz Ulusar
8
Kerim Cagli
Anahtar Kelimeler
atrial fibrillation
left atrial enlargement
mitral valve replacement
Kurumlar
Akdeniz Üniversitesi
Antalya Turkey
Hitit University
Corum Turkey
Kartal Kosuyolu Education and Research Hospital
Istanbul Turkey
Metrikler
5
Atıf
8
Yazar
3
Anahtar Kelime