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Sungatullin M.A.

Interregional Clinical Diagnostic Center;
Kazan State Medical Academy

Abdulyanov I.V.

Interregional Clinical Diagnostic Center;
Kazan State Medical Academy

Vagizov I.I.

Interregional Clinical Diagnostic Center

Gaisin M.R.

Interregional Clinical Diagnostic Center

Khairullin R.N.

Interregional Clinical Diagnostic Center

Zainetdinov M.R.

Interregional Clinical Diagnostic Center

A modified method of left atrial radiofrequency ablation for atrial fibrillation in a patient undergoing mitral valve replacement under warm blood cardioplegia

Authors:

Sungatullin M.A., Abdulyanov I.V., Vagizov I.I., Gaisin M.R., Khairullin R.N., Zainetdinov M.R.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(5): 556‑560

DOI: 10.17116/kardio202417051556

Views: 341

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To cite this article:

Sungatullin MA, Abdulyanov IV, Vagizov II, Gaisin MR, Khairullin RN, Zainetdinov MR. A modified method of left atrial radiofrequency ablation for atrial fibrillation in a patient undergoing mitral valve replacement under warm blood cardioplegia. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(5):556‑560. (In Russ.)
https://doi.org/10.17116/kardio202417051556

 
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Atrial fibrillation (AF) is the most common form of irregular heart rhythm increasing the risk of death or disability. This rhythm disturbance is common among patients with rheumatic heart disease. Along with clinical manifestations of heart valve defect, AF additionally aggravates the course of the underlying disease. To date, on-pump surgeries have reached a new level of development. Appropriate surgical experience and improvement of myocardial protection reduced surgery time and improved postoperative outcomes. We present successful surgical treatment of a patient with severe mitral stenosis and long-term persistent AF who underwent a modified method of radiofrequency left atrial ablation (patent for invention No. 2758133 dated 10/26/2021) under warm blood cardioplegia.

Keywords:

left atrial radiofrequency ablation
atrial fibrillation
blood cardioplegia
mitral valve disease

Authors:

Sungatullin M.A.

Interregional Clinical Diagnostic Center;
Kazan State Medical Academy

Abdulyanov I.V.

Interregional Clinical Diagnostic Center;
Kazan State Medical Academy

Vagizov I.I.

Interregional Clinical Diagnostic Center

Gaisin M.R.

Interregional Clinical Diagnostic Center

Khairullin R.N.

Interregional Clinical Diagnostic Center

Zainetdinov M.R.

Interregional Clinical Diagnostic Center

Received:

03.09.2023

Accepted:

05.10.2023

List of references:

  1. Roy D, et al. Rhythm Control versus Rate Control for Atrial Fibrillation and Heart Failure. The new England journal of medicine 2008; 358:2667-2677. https://doi.org/10.1056/NEJMoa0708789
  2. Feinberg WM, et al. Prevalence, Age Distribution, and Gender of Patients With Atrial Fibrillation Analysis and Implications. Arch Intern Med. 1995;155(5):469-473. 
  3. Fulgeman MY. Restoration and maintenance of sinus rhythm after mitral valve surgery for mitral stenosis. The American Journal of Cardiology. 1984;54(6):617-619.  https://doi.org/10.1016/0002-9149(84)90260-1.
  4. Bogachev-Prokofiev AV, et al. Comparison of biatrial and left atrial radiofrequency ablation procedures for correction of heart valve defects. Circulatory pathology and cardiac surgery. 2013;2:11-16. (In Russ.). https://doi.org/10.21688/1681-3472-2013-2-11-16.
  5. Chernjavskij AM, Kalybekova AT. Characteristics of biatrial and left atrial ablation in surgical treatment of long-persistent atrial fibrillation in patients with concomitant cardiac diseases. Annals of Arrhythmology. 2019;16(4):194-203. (In Russ.). https://doi.org/10.15275/annaritmol.2019.4.2
  6. Rostagno C, et al. Effects of Atrial Fibrillation Radiofrequency Ablation in Patients Aged> 75 Years Undergoing Mitral Valve Surgery. Journal of Clinical Medicine. 2023;12(5):1812. https://doi.org/10.3390/jcm12051812
  7. Imnadze GG, Serov RA, Revishvili ASh. Morphology of pulmonary veins and their muscular couplings, role in occurrence of atrial fibrillation. Bulletin of Arrhythmology. 2003;34:44-50. (In Russ.).
  8. Camm AJ, et al. 2012 focused update of the ESC Guidelines for the management of atrial fibrillation: An update of the 2010 ESC Guidelines for the management of atrial fibrillation. European Heart Journal. 2012;33(21):2719-2747. https://doi.org/10.1093/eurheartj/eht291
  9. Song Y, Bo M, et al. Long-Term Results of Surgical Atrial Fibrillation Radiofrequency Ablation: Comparison of Two Methods. Heart, Lung and Circulation. 2018;27(5):621-628.  https://doi.org/10.1016/j.hlc.2017.04.016
  10. Gillinov AM, et al. Surgical ablation of atrial fibrillation during mitral-valve surgery. New England Journal of Medicine. 2015;372(15):1399-1409. https://doi.org/10.1056/NEJMoa1500528
  11. Abdulianov IV, et al. Effectiveness of surgical treatment of persistent atrial fibrillation using biatrial and left atrial radiofrequency ablation in patients undergoing mitral valve replacement. Practical Medicine. 2018;16(9):62-68. (In Russ.). https://doi.org/10.32000/2072-1757-2018-9-62-68.
  12. Osmancik P, et al. Five-year outcomes in cardiac surgery patients with atrial fibrillation undergoing concomitant surgical ablation versus no ablation. The long-term follow-up of the PRAGUE-12 Study. Heart Rhythm. 2019;16.9:1334-1340. https://doi.org/10.1016/j.hrthm.2019.05.001

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