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J Thorac Cardiovasc Surg 2003;125:1539-1540
© 2003 The American Association for Thoracic Surgery

Brief Communications

Maze procedure in the Marfan syndrome

Hiroyuki Nakajima, MD, Ko Bando, MD, Soichiro Kitamura, MD, Junjiro Kobayashi, MD, Kazuo Niwaya, MD, Osamu Tagusari, MD Osaka, Japan

From the Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan.

Received for publication Aug 21, 2002. Accepted for publication Sept 25, 2002. Address for reprints: Ko Bando, MD, Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan (E-mail: kobando@hsp.ncvc.go.jp).

The first 20% of the full text of this article appears below.

When a successful maze procedure provides normal sinus rhythm, avoidance of mechanical valve will provide active life without anticoagulation. This is especially true among patients with Marfan syndrome, because most of the late mortality and morbidity after cardiac surgery in Marfan syndrome have been related to the prosthetic valve, anticoagulation therapy, and aortic lesions, including bleeding or dissection.Go 1 However, the maze procedure has not usually been performed with reconstruction of the combined aortic and mitral valves, on the assumption that prolonged bypass time could result in adverse outcomes. We report here the successful surgical treatment of a patient with aortic and mitral insufficiency and chronic atrial fibrillation.

Clinical summary

A 43-year-old woman had a family history of Marfan syndrome. On the electrocardiogram, sustained atrial fibrillation with an f wave of . . . [Full Text of this Article]






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