Minimally Invasive Mitral Valve Replacement Combined with Atrial Fibrillation Radiofrequency Ablation via Right Minithoracotomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 XIUZong-yi , GUTian-xiang , YULei , CHENMai

Department of Cardiac Surgery, the First Hospital of China Medical University, Shenyang 110001, P. R. China;

Corresponding author：

XIUZong-yi, Email: xzy5450@aliyun.com

Keywords：

Right minithoracotomy; Mitral valve replacement; Atrial fibrillation; Radiofrequency ablation

DOI：

10.7507/1007-4848.20140145

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To summarize clinical advantages and outcomes of minimally invasive mitral valve replacement (MVR) combined with atrial fibrillation (AF) radiofrequency ablation via right minithoracotomy. Methods Eight patients with mitral valve disease and AF who received surgical therapy in the First Hospital of China Medical University between October 2009 and October 2012 were included in the study. There were 4 males and 4 females with their age of 34-67 (52.4±17.5) years. All the patients underwent minimally invasive MVR combined with AF radiofrequency ablation via right minithoracotomy. Clinical outcomes were summarized. Results There was no in-hospital death or conversion to conventional sternotomy in this group. Two patients received biological valve replacement and 6 patients received mechanical prosthesis. Operation time was 207.9±18.1 minutes, cardiopulmonary bypass time was 81.7±23.9 minutes, and chest drainage amount was 126.7±34.5 ml. AF recurred in 1 patient on the 3rd postoperative day. All the patients were in sinus rhythm at discharge. These patients were followed up for 18.3±7.4 months. During follow-up, 1 patient had AF recurrence. Seven patients were in NYHA class Ⅰ, and 1 patients was in NYHA class Ⅱ. Conclusion Minimally invasive MVR combined with AF radiofrequency ablation via right minithoracotomy can achieve satisfactory clinical results and esthetic appearance, and is a good choice for patients with mitral valve disease and AF.

Citation： XIUZong-yi, GUTian-xiang, YULei, CHENMai. Minimally Invasive Mitral Valve Replacement Combined with Atrial Fibrillation Radiofrequency Ablation via Right Minithoracotomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2014, 21(4): 515-517. doi: 10.7507/1007-4848.20140145 Copy

1.	Handa N, Schaff HV, Morris JJ, et al. Outcome of valve repair and the Cox Maze procedure for mitral regurgitation and associated atrial fibrillation. J Thorac Cardiovasc Surg, 1999, 118 (4):626-635.
2.	Obadia JF, Farra M, Bastian OH, et al. Outcome of atrial fibrillation after mitral valve repair. J Thorac Cardiovasc Surg, 1997, 114 (2):179-185.
3.	Kosakai Y, Kawaguchi AT, Isobe F, et al. Cox Maze procedure for chronic atrial fibrillation associated with mitral valve disease. J Thorac Cardiovasc Surg, 1994, 108 (6):1049-1055.
4.	Sie HT, Beukema WP, Elvan A, et al. Long-term results of irrigated radiofrequency modified Maze procedure in 200 patients with conco-mitant cardiac surgery:six years experience. Ann Thorac Surg, 2004, 77 (2):512-517.
5.	Khargi K, Hutten BA, Lemke B, et al. Surgical treatment of atrial fibrillation:a systematic review. Eur J Cardiothorac Surg, 2005, 27 (2):258-265.
6.	修宗谊, 马瑞阳, 谷天祥, 等.二尖瓣瓣膜置换手术中射频消融治疗心房颤动.中国医科大学学报, 2008, 37 (5):654-656.
7.	师恩祎, 谷天祥, 喻磊, 等.右胸前外侧小切口再次和多次二尖瓣置换术.中华外科杂志, 2012, 50 (8):757-758.
8.	Wolf RK, Schneeberger EW, Osterday R, et al. Video-assisted bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation. J Thorac Cardiovasc Surg, 2005, 130 (3):797-802.
9.	Lee AM, Clark K, Bailey MS, et al. A minimally invasive cox-maze procedure:operative technique and results. Innovations (Phila), 2010, (4):281-286.
10.	金海, 徐志云, 于伟勇, 等.微创小切口心脏瓣膜手术134例.中国胸心血管外科临床杂志, 2005, 12 (4):237-239.
11.	吴根社, 王跃军, 潘毓标, 等.全胸腔镜心脏手术33例临床分析.华夏医学, 2008, 21 (4):646-648.
12.	Richardson L, Richardson M, Hunter S. Is a port-access mitral valve repair superior to the sternotomy approach in accelerating postoperative recovery? Interact Cardiovasc Thorac Surg, 2008, 7 (4):678-683.

1. Handa N, Schaff HV, Morris JJ, et al. Outcome of valve repair and the Cox Maze procedure for mitral regurgitation and associated atrial fibrillation. J Thorac Cardiovasc Surg, 1999, 118 (4):626-635.
2. Obadia JF, Farra M, Bastian OH, et al. Outcome of atrial fibrillation after mitral valve repair. J Thorac Cardiovasc Surg, 1997, 114 (2):179-185.
3. Kosakai Y, Kawaguchi AT, Isobe F, et al. Cox Maze procedure for chronic atrial fibrillation associated with mitral valve disease. J Thorac Cardiovasc Surg, 1994, 108 (6):1049-1055.
4. Sie HT, Beukema WP, Elvan A, et al. Long-term results of irrigated radiofrequency modified Maze procedure in 200 patients with conco-mitant cardiac surgery:six years experience. Ann Thorac Surg, 2004, 77 (2):512-517.
5. Khargi K, Hutten BA, Lemke B, et al. Surgical treatment of atrial fibrillation:a systematic review. Eur J Cardiothorac Surg, 2005, 27 (2):258-265.
6. 修宗谊, 马瑞阳, 谷天祥, 等.二尖瓣瓣膜置换手术中射频消融治疗心房颤动.中国医科大学学报, 2008, 37 (5):654-656.
7. 师恩祎, 谷天祥, 喻磊, 等.右胸前外侧小切口再次和多次二尖瓣置换术.中华外科杂志, 2012, 50 (8):757-758.
8. Wolf RK, Schneeberger EW, Osterday R, et al. Video-assisted bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation. J Thorac Cardiovasc Surg, 2005, 130 (3):797-802.
9. Lee AM, Clark K, Bailey MS, et al. A minimally invasive cox-maze procedure:operative technique and results. Innovations (Phila), 2010, (4):281-286.
10. 金海, 徐志云, 于伟勇, 等.微创小切口心脏瓣膜手术134例.中国胸心血管外科临床杂志, 2005, 12 (4):237-239.
11. 吴根社, 王跃军, 潘毓标, 等.全胸腔镜心脏手术33例临床分析.华夏医学, 2008, 21 (4):646-648.
12. Richardson L, Richardson M, Hunter S. Is a port-access mitral valve repair superior to the sternotomy approach in accelerating postoperative recovery? Interact Cardiovasc Thorac Surg, 2008, 7 (4):678-683.

Previous Article
Learning Curve of Single Pore Video-assisted Thoracoscopic Surgery for the Treatment of Pulmonary Bullae
Next Article
Value of Mulit-Slice CT in Diagnosing Nutcracker Phenomenon

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Minimally Invasive Mitral Valve Replacement Combined with Atrial Fibrillation Radiofrequency Ablation via Right Minithoracotomy

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content