THE EFFICIENCY OF THE LEFT ATRIUM PROCEDURES MAZE III AND MODIFIED LEFT ATRIUM PROCEDURES MAZE IV WITH SIMULTANEOUS SURGICAL TREATMENT OF HEART VALVE DISEASES AND PAROXYSMAL ATRIAL FIBRILLATION
https://doi.org/10.18705/2311-4495-2016-3-5-25-33
Abstract
During the period 2013-2015 were analyzed the results of surgical treatment of 34 patients with valvular disease and with concomitant paroxysmal form of atrial fibrillation (PAF). T he Group I included 19 patients who in addition to the correction of acquired heart disease were performed with the procedure named «cut and sew» (MAZE III) of the left atrium (LA). T he Group II included 15 patients who had the modified surgical ablation of left atrial bipolar radiofrequency insulator (procedure MAZE IV). T he study revealed that the procedure MAZE III (LA) and modified methods MAZE IV (LA) showed almost the same level of high efficiency (frequency of maintaining sinus rhythm after 1 year was 100% and 93,3%, respectively) that was accompanied by a lack of cerebral embolic complications during the observation period. As the result the procedure MAZE III (LA) or MAZE IV (LA) in the modification must be discussed immediately among all patients with PAF while the correction of heart valve disease.
About the Authors
A. Y. Bagdasaryan
Federal Almazov North-West Medical Research Centre
Russian Federation
Russian Federation
the cardiovascular surgeon
Akkuratova str. 2, Saint Petersburg, Russia, 197341
S. V. Isakov
Federal Almazov North-West Medical Research Centre
Russian Federation
Russian Federation
the research officer of Scientific research laboratory of valvular heart defects and coronary heart disease, candidate of medical science, cardiovascular surgeon
M. L. Gordeev
Federal Almazov North-West Medical Research Centre
Russian Federation
the chief cardiac surgeon
Russian Federation
the chief cardiac surgeon
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Review
For citations:
Bagdasaryan A.Y., Isakov S.V., Gordeev M.L. THE EFFICIENCY OF THE LEFT ATRIUM PROCEDURES MAZE III AND MODIFIED LEFT ATRIUM PROCEDURES MAZE IV WITH SIMULTANEOUS SURGICAL TREATMENT OF HEART VALVE DISEASES AND PAROXYSMAL ATRIAL FIBRILLATION. Translational Medicine. 2016;3(5):25-33. (In Russ.) https://doi.org/10.18705/2311-4495-2016-3-5-25-33
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