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Partial Maze Procedure Is Effective Treatment for Chronic Atrial Fibrillation Associated with Valve Disease
Author(s) -
Takami Yoshiyuki,
Yasuura Kenzo,
Takagi Yasushi,
Ohara Yasuhisa,
Watanabe Takashi,
Usui Akihiko,
Masumoto Hiroshi,
Sakai Yoshimasa,
Teranishi Katsuhito
Publication year - 1999
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1999.tb00958.x
Subject(s) - medicine , atrial fibrillation , sinus rhythm , cardiology , fibrillation , anesthesia , surgery
The maze procedure may be performed in combination with valve operations to treat chronic atrial fibrillation associated with valve dysfunction. Although we initially used the modified Cox maze III procedure, a more limited partial maze procedure is now preferred because the left atrium might be considered as the electrical impetues for atrial fibrillation. In this study we compared the results of 30 patients (group I) who underwent the full biatrial modified Cox maze III and 20 (group II) patients the partial maze procedure. While the rates of restored sinus rhythm were the same in both groups at 6‐month follow‐up (I: 83.3%, vs II: 80%), the following advantages were noted in the patients undergoing the partial maze procedure: shorter operative times, lesser elevations of creatine phosphokinase, lower rate of blood transfusion, lower rate of junc‐tional rhythm soon after the operation, and a higher P wave in those patients with restored sinus rhythm. The effectiveness of the partial maze procedure seems equal to that of the biatrial modified Cox maze III procedure for atrial fibrillation associated with valve disease. The partial maze procedure is simple and less invasive, and thus might be applied more frequently as an additional procedure to valve operations without additional risk.