PMID- 16083621
OWN - NLM
STAT- MEDLINE
DCOM- 20070316
LR  - 20050808
IS  - 0529-5815 (Print)
IS  - 0529-5815 (Linking)
VI  - 43
IP  - 14
DP  - 2005 Jul 15
TI  - [Left atrial plication for left atrium associated with mitral valve disease].
PG  - 918-20
AB  - OBJECTIVE: To evaluate the effects of left atrial plication (LAP) in patients 
      with giant left atrium (GLA) associated with mitral valve disease. METHODS: 
      Twenty-three patients with left atrial diameter (LAD) over 8.0 cm were enrolled. 
      All cases underwent valve replacement and LAP between November 1993 and November 
      2004 were studied retrospectively. According to New York Heart Association (NYHA) 
      classification, 15 belonged to class III, 8 to class IV. Mitral valve 
      replacements were performed in 18 patients (mechanical valve in 17 and biological 
      valve in 1), double value replacement in 5, tricuspid valve plasty (TVP) in 15, 
      atrial fibrillation radiofrequency ablation in 2. RESULTS: Low output syndrome 
      happened in 3, respiratory failure in 2. The early death was in 3 cases 
      (operative mortality 13%). The causes of death were: heart failure in 2 cases and 
      stroke in 1. LAD was decreased significantly in patients after operation. 
      CONCLUSIONS: LAP has considerably beneficial effects on improvement of 
      postoperative respiratory and cardiac function, reducing operative mortality. 
      Atrial fibrillation radiofrequency ablation is effective in patients with GLA 
      associated with valve disease. It may be recommended for patients with GLA during 
      mitral valve surgery, especially for patients with LAD > 8.0 cm.
FAU - Zheng, Si-hong
AU  - Zheng SH
AD  - Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital University of 
      Medical Sciences, Beijing 100029, China. zhengsihong1962@yahoo.com.cn
FAU - Sun, Yan-qing
AU  - Sun YQ
FAU - Meng, Xu
AU  - Meng X
FAU - Gao, Feng
AU  - Gao F
FAU - Huang, Fu-hua
AU  - Huang FH
LA  - chi
PT  - English Abstract
PT  - Journal Article
PL  - China
TA  - Zhonghua Wai Ke Za Zhi
JT  - Zhonghua wai ke za zhi [Chinese journal of surgery]
JID - 0153611
SB  - IM
MH  - Adult
MH  - Atrial Fibrillation/complications/surgery
MH  - Bioprosthesis
MH  - Cardiomegaly/complications/*surgery
MH  - Catheter Ablation
MH  - Female
MH  - Heart Atria/*surgery
MH  - Heart Valve Prosthesis
MH  - *Heart Valve Prosthesis Implantation
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/complications/*surgery
MH  - Mitral Valve Stenosis/complications/*surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2005/08/09 09:00
MHDA- 2007/03/17 09:00
CRDT- 2005/08/09 09:00
PHST- 2005/08/09 09:00 [pubmed]
PHST- 2007/03/17 09:00 [medline]
PHST- 2005/08/09 09:00 [entrez]
PST - ppublish
SO  - Zhonghua Wai Ke Za Zhi. 2005 Jul 15;43(14):918-20.