PMID- 18810694
OWN - NLM
STAT- MEDLINE
DCOM- 20090109
LR  - 20080923
IS  - 0171-6425 (Print)
IS  - 0171-6425 (Linking)
VI  - 56
IP  - 7
DP  - 2008 Oct
TI  - Early and late results of permanent atrial fibrillation ablation surgery in 
      aortic valve and CABG patients.
PG  - 386-90
LID - 10.1055/s-2008-1038783 [doi]
AB  - OBJECTIVE: The study investigates the early and late results of permanent atrial 
      fibrillation (AF) ablation surgery concomitant to coronary artery bypass grafting 
      (CABG) and/or aortic valve (AV) surgery. METHODS: Between February 2001 and April 
      2006, a selective group of 80 patients with permanent AF (median: 48 months 
      [Perc25/75 24/110; range: 6 - 360 months]) underwent either bipolar (n = 60) or 
      monopolar (n = 20) radiofrequency (RF) ablation procedures concomitant to CABG 
      and/or AV surgery (CABG: n = 39; AV: n = 30; AV + CABG: n = 11). All patients 
      were restudied to assess survival, conversion rate to stable sinus rhythm (SR) 
      and New York Heart Association (NYHA) class early (3 +/- 1 months) and late after 
      surgery (30 +/- 15 months). Data were analyzed exploratively. RESULTS: Survival 
      at 3 and 30 months was 98 % and 96 %, respectively. Stable SR could be documented 
      in 73 % and 77 % of patients. Long-term AF before surgery and larger LA size were 
      predictive for AF return after surgery ( P = 0.004 and P = 0.032, respectively). 
      Neither age, gender, the application modus of the RF energy nor the underlying 
      cardiac disease influenced the postoperative cardiac rhythm significantly. NYHA 
      class improved significantly after surgery ( P < 0.0005), particularly when 
      stable SR was achieved ( P = 0.049). CONCLUSION: Preoperative permanent AF 
      duration time and larger LA size are useful variables to predict the success rate 
      of concomitant ablation surgery in CABG and/or AV patients. Further it could be 
      demonstrated that established SR remained stable over time.
FAU - Geidel, S
AU  - Geidel S
AD  - Abteilung fur Herzchirurgie, Asklepios Klinik St. Georg, Hamburg, Germany. 
      s.geidel@asklepios.com
FAU - Lass, M
AU  - Lass M
FAU - Krause, K
AU  - Krause K
FAU - Betzold, M
AU  - Betzold M
FAU - Aslan, H
AU  - Aslan H
FAU - Boczor, S
AU  - Boczor S
FAU - Kuck, K-H
AU  - Kuck KH
FAU - Ostermeyer, J
AU  - Ostermeyer J
LA  - eng
PT  - Journal Article
DEP - 20080922
PL  - Germany
TA  - Thorac Cardiovasc Surg
JT  - The Thoracic and cardiovascular surgeon
JID - 7903387
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Valve/physiopathology/*surgery
MH  - Atrial Fibrillation/complications/physiopathology/*surgery
MH  - *Catheter Ablation
MH  - *Coronary Artery Bypass
MH  - Coronary Artery Disease/complications/physiopathology/*surgery
MH  - Female
MH  - Heart Valve Diseases/complications/physiopathology/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Recovery of Function
MH  - Recurrence
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2008/09/24 09:00
MHDA- 2009/01/10 09:00
CRDT- 2008/09/24 09:00
PHST- 2008/09/24 09:00 [pubmed]
PHST- 2009/01/10 09:00 [medline]
PHST- 2008/09/24 09:00 [entrez]
AID - 10.1055/s-2008-1038783 [doi]
PST - ppublish
SO  - Thorac Cardiovasc Surg. 2008 Oct;56(7):386-90. doi: 10.1055/s-2008-1038783. Epub 
      2008 Sep 22.