A Radiofrequency modified maze and valve procedure through a port-access approach

dc.contributor.authorGüden, Mustafa
dc.contributor.authorAkpınar, Belhhan
dc.contributor.authorSağbaş, Ertan
dc.contributor.authorSanisoğlu, İlhan
dc.contributor.authorErgenoğlu, Mehmet U.
dc.contributor.authorÖzbek, Uğur
dc.date.accessioned2019-06-27T08:00:58Z
dc.date.available2019-06-27T08:00:58Z
dc.date.issued2003
dc.description.abstractBackground: The aim of the study was to assess the feasibility and effectiveness of the irrigated radiofrequency modified maze procedure through a port-access approach during mitral valve surgery. Methods: Forty-three patients with atrial fibrillation (AF) and mitral valve disease underwent a combined procedure through a port-access approach. The indication was a history of continuous AF for more than 6 months in patients eligible for minimally invasive mitral valve surgery. Results: The incidence of early mortality was 1 patient (2.3%) and that of freedom from AF was 100% at the end of the operation (70% of patients with normal sinus rhythm 30% with a pacemaker). One patient (2.3%) required permanent pacemaker implantation after surgery. One patient (2.3%) required reoperation for bleeding. There were no reoperations for failed valve repairs. The incidences of freedom from AF were 87% and 92% at 6 and 12 months respectively. At 12 months functional capacity had improved significantly (P < .05). There were no procedure-related complications. No thromboembolic events were detected during follow-up. Conclusion: The port-access approach provided a good access for both valve surgery and the radiofrequency maze procedure. The combination of direct and videoscopic vision allowed an adequate view and led to a safe and efficient combined procedure. Short- and intermediate-term follow-up results were favorable.en_US]
dc.identifier.citation7
dc.identifier.endpage296
dc.identifier.issn1098-3511en_US
dc.identifier.issn1522-6662en_US
dc.identifier.issn1098-3511
dc.identifier.issn1522-6662
dc.identifier.issue5
dc.identifier.pmid14721796en_US
dc.identifier.scopus2-s2.0-0142186138en_US
dc.identifier.scopusqualityQ3
dc.identifier.startpage292en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12469/191
dc.identifier.volume6en_US
dc.identifier.wosWOS:000185916500005en_US
dc.identifier.wosqualityN/A
dc.institutionauthorAkpınar, Belhhanen_US
dc.language.isoenen_US
dc.publisherForum Multimedia Publishing LLC.en_US
dc.relation.journalHeart Surgery Forumen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleA Radiofrequency modified maze and valve procedure through a port-access approachen_US
dc.typeArticleen_US
dspace.entity.typePublication

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