Case of radiofrequency catheter ablation of persistent atrial fibrillation after unsuccessful maze procedure
https://doi.org/10.18705/2311-4495-2016-3-3-85-88
Abstract
Atrial fibrillation (AF) often goes along with mitral valve (MV) pathology. At that the implementation of surgical ablation of AF in addition to valvular disease correction does not always guarantee freedom from arrhythmia. The risk of repeated interventions is extremely high, and the possibilities of catheter ablation methods are determined by the type of the valve prosthesis. The purpose of this research is to present a clinical case of successful radiofrequency catheter pulmonary veins reisolation after unsuccessful maze procedure in patient with biological prosthesis of MV. Conclusions. Catheter ablation methods can be successfully applied in subjects with biological prostheses of heart valves, and possible cancellation of anticoagulant therapy if the sinus rhythm is maintained contributes to realizing the benefits of this type of prostheses.
About the Authors
Tatiana Yu. Chichkova
Kemerovo Cardiology Dispensary
Russian Federation
Russian Federation
Sergey E. Mamchur
Municipal Budgetary Healthcare Institution Kemerovo Cardiology Dispensary
Russian Federation
Russian Federation
References
1. Maroto L.C., Carnero M., Silva J.A., et al. Early recurrence is a predictor of late failure in surgical ablation of atrial fibrillation. Interact. Cardiovasc. Thorac. Surg. 2011; 12: 681-686.
2. Wang X., Liu X., Shi H., et al. Heart rhythm disorders and pacemakers: Pulmonary vein isolation combined with substrate modification for persistent atrial fibrillation treatment in patients with valvular heart diseases. Heart. 2009; 95(21): 1773-1783.
3. Горбунова Е.В., Одаренко Ю.Н., Мамчур С.Е. Стратегия восстановления синусового ритма после одномоментной коррекции порока митрального клапана и процедуры «Лабиринт» в повышении эффективности и безопасности антикоагулянтной терапии. Кардиология. 2014; 10: 45-50
4. Wazni O.M., Saliba W., Fahmy T., et al. Atrial Arrhythmias After Surgical Maze: Findings During Catheter Ablation. J. Am. Coll. Cardiol. 2006; 48: 1405-1409.
5. Henry L., Durrani S., Hunt S., et al. Percutaneous Catheter Ablation Treatment of Recurring Atrial Arrhythmias After Surgical Ablation. Ann Thorac. Surg. 2010; 89: 12271232.
6. Trumello C., Pozzoli A., Mazzone P., et al. Electrophysiological findings and long-term outcomes of percutaneous ablation of atrial arrhythmias after surgical ablation for atrial fibrillation. Eur J Cardiothorac Surg. 2016; 49: 273-80.
Review
For citations:
Chichkova T.Yu., Mamchur S.E. Case of radiofrequency catheter ablation of persistent atrial fibrillation after unsuccessful maze procedure. Translational Medicine. 2016;3(3):85-88. (In Russ.) https://doi.org/10.18705/2311-4495-2016-3-3-85-88
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