Impact of Concomitant Surgical Atrial Fibrillation Ablation in Patients Undergoing Aortic Valve Replacement
DC Field | Value | Language |
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dc.contributor.author | Yoo, Jae Suk | - |
dc.contributor.author | Kim, Joon Bum | - |
dc.contributor.author | Ro, Sun Kyun | - |
dc.contributor.author | Jung, Yoonsuh | - |
dc.contributor.author | Jung, Sung-Ho | - |
dc.contributor.author | Choo, Suk Jung | - |
dc.contributor.author | Lee, Jae Won | - |
dc.contributor.author | Chung, Cheol Hyun | - |
dc.date.accessioned | 2022-07-16T04:31:15Z | - |
dc.date.available | 2022-07-16T04:31:15Z | - |
dc.date.created | 2021-05-12 | - |
dc.date.issued | 2014-06 | - |
dc.identifier.issn | 1346-9843 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/159840 | - |
dc.description.abstract | Background: The clinical benefit of concomitant atrial fibrillation (AF) ablation at the time of aortic valve replacement (AVR) is uncertain. Methods and Results: A total of 124 patients with AF who underwent AVR with (n=50) or without (n=74) a concomitant maze procedure, between 2000 and 2011, were evaluated. There were no significant differences in early postoperative outcomes. During a median clinical follow-up of 18.1 months (interquartile range: 6.9-47.8 months), 19 late deaths (15.3%) and 33 valve-related complications (26.6%) occurred, but the differences between groups were not statistically significant. Major event-free survival at 5 years was 60.9 +/- 9.9% vs. 57.0 +/- 10.3% (P=0.41). After adjustment, the maze group demonstrated similar risks for major adverse cardiac events (hazard ratio, 1.18; 95% confidence interval, 0.56-2.49; P=0.67). However, the rate of sinus rhythm restoration at 4 years was significantly higher in the maze group (80.6% vs. 3.6%, P<0.001). Left atrial dimension was smaller (46.9 vs. 50.4 mm, P=0.017), and the ejection fraction was higher (60.6% vs. 58.0%, P=0.059) in the maze group. The rate of postoperative anticoagulation was also lower in the maze group (53.1% vs. 89.2%, P<0.001). Conclusions: Concomitant AF ablation in patients undergoing AVR resulted in increased sinus rhythm restoration, better echocardiographic results, and decreased anticoagulation requirement, without increasing surgical morbidity or mortality. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | JAPANESE CIRCULATION SOC | - |
dc.title | Impact of Concomitant Surgical Atrial Fibrillation Ablation in Patients Undergoing Aortic Valve Replacement | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Ro, Sun Kyun | - |
dc.identifier.doi | 10.1253/circj.CJ-13-1533 | - |
dc.identifier.scopusid | 2-s2.0-84901341514 | - |
dc.identifier.wosid | 000336378000019 | - |
dc.identifier.bibliographicCitation | CIRCULATION JOURNAL, v.78, no.6, pp.1364 - 1371 | - |
dc.relation.isPartOf | CIRCULATION JOURNAL | - |
dc.citation.title | CIRCULATION JOURNAL | - |
dc.citation.volume | 78 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 1364 | - |
dc.citation.endPage | 1371 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.subject.keywordPlus | THORACIC-SURGEONS | - |
dc.subject.keywordPlus | RADIOFREQUENCY ABLATION | - |
dc.subject.keywordPlus | CONSENSUS-STATEMENT | - |
dc.subject.keywordPlus | FOLLOW-UP | - |
dc.subject.keywordPlus | MAZE | - |
dc.subject.keywordPlus | SOCIETY | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | DISEASE | - |
dc.subject.keywordPlus | RHYTHM | - |
dc.subject.keywordAuthor | Aortic valve replacement | - |
dc.subject.keywordAuthor | Atrial fibrillation | - |
dc.subject.keywordAuthor | Maze procedure | - |
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