JTCS Speed Up Your Browser
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Lin, F.-Y.
Right arrow Articles by Chu, S.-H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lin, F.-Y.
Right arrow Articles by Chu, S.-H.

J Thorac Cardiovasc Surg 1996;111:231-237
© 1996 Mosby, Inc.

SURGERY FOR ACQUIRED HEART DISEASE

ATRIAL COMPARTMENT SURGERY FOR CHRONIC ATRIAL FIBRILLATION ASSOCIATED WITH CONGENITAL HEART DEFECTS

Fang-Yue Lin, MD, PhDa, Jen-Hsuan Huang, MDa, Jiunn-Lee Lin, MD, PhDb, Wen-Jone Chen, MDb, Huey-Ming Lo, MDb, Shu-Hsun Chu, MDa


Taipei, Taiwan

Received for publication Oct. 28, 1994. Accepted for publication May 9, 1995. Address for reprints: Fang-Yue Lin, MD, PhD, Department of Surgery, National Taiwan University Hospital, No. 1, Chang-Teh Street, Taipei, Taiwan 100.

Abstract

In three adult patients, two with atrial septal defect and one with Ebstein's anomaly, chronic atrial fibrillation was documented for 13, 21, and 3 years, respectively. Atrial compartment surgery was performed for ablation of the atrial fibrillation concomitant with repair of the cardiac defects. The operation was performed with traditional cardiopulmonary bypass and crystalloid cardioplegia myocardial protection. AU-shaped incision was made in the right atrium: a longitudinal incision 1 cm lateral and parallel to the sulcus terminalis, extending along the borders of the atrial septum to 3 cm (upper margin) and 1 cm (lower margin) distant to the tricuspid anulus. Cryolesions of the atrial isthmus between the upper incision margin and the tricuspid valve anulus were created at -60º C for 180 seconds at a time. After the operation, all three patients had restored and maintained normal sinus rhythm during follow-up periods of 32, 16, and 3 months. Doppler echocardiography detected the recovery of atrial contractility in all three patients. Atrial compartment surgery is a simple and effective method for elimination of chronic atrial fibrillation associated with congenital heart defects. (J THORACCARDIOVASCSURG 1996;111:231-7)




This article has been cited by other articles:


Home page
 NEJMHome page
M. A. Gatzoulis, M. A. Freeman, S. C. Siu, G. D. Webb, and L. Harris
Atrial Arrhythmia after Surgical Closure of Atrial Septal Defects in Adults
N. Engl. J. Med., March 18, 1999; 340(11): 839 - 846.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1996 by The American Association for Thoracic Surgery.