Barış ÇAYNAK, Zehra BAYRAMOĞLU, Mustafa GÜDEN, İlhan SANİSOĞLU, Belhhan AKPINAR, Ertan SAĞBAŞ

Atriyal fibrilasyonun cerrahi tedavisi: Uzun dönem sonuçlar

Amaç: Açık kalp ameliyatı olan hastalarda eşzamanlı radyofrekans modifiye maze işlemi uygulamasının sonuçları incelendi.Çalışma planı: Açık kalp ameliyatı (AKA) planlanan kalıcı atriyal fibrilasyonu (AF) olan hastalar rastgele grup 1 (açık kalp ameliyatı + radyofrekans modifiye maze) ve grup 2 (sadece AKA) olarak ayrıldı. Grup 1'de 34 hasta (12 erkek, 22 kadın; ort. yaş 60.82±10.04; dağılım 41-77), grup 2'de 36 hasta (19 erkek, 17 kadın; ort. yaş 55.39±10.98; dağılım 32-75) vardı. Grup 1'de ortalama takip süresi 23.41±6.34 ay; grup 2'de 15.11±6.40 aydı. Bütün hastalara takiplerinde 24 saatlik holter monitörizasyonuyla transtorasik ekokardiyografi yapıldı.Bulgular: Yaş dışında demografik bilgiler, sol atriyum çapı ve fonksiyonel kapasite açısından iki grup arasında bir farklılık yoktu. Grup 1'de AF dışı ritm %76.5, grup 2'de %27.8 olarak bulundu (p

Surgical treatment of atrial fibrillation: long term results

Background: The aim of this study was to asses the results of concomitant radiofrequency modified maze (RFMM) procedure in patients undergoing open heart surgery.Methods: Patients with permanent atrial fibrillation (AF) undergoing open heart surgery (OHS) were randomly assigned either in group 1 (OHS + RFMM) or group 2 (only OHS). There were 34 patients (12 males, 22 females; mean age 60.82±10.04 years; range 41-77) in group 1 and 36 patients (19 males, 17 females; mean age 55.39±10.98 years; range 32-75) in group 2. The mean period for follow up was 23.41±6.34 months in group 1 and 15.11±6.40 months in group 2. All patients underwent a 24 hours holter monitorization and transthoracic echocardiography in their follow-up evaluations.Results: Aside from patient age, there were no significant differences between the two groups in terms of demographic properities, duration of AF, left atrial diameter (LAD) or functional capacity. In Group 1 76.5%, and in group 2 27.8% of patients were free of AF (p

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