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• W2165018109 abstract "Abstract Aim. The aim of this study is to evaluate the efficiency of intraoperative endocardial Radiofrequency Ablation (RFA) treatment at short and mid-term in patients with mitral valve disorders and chronic atrial fibrillation (CAF) during mitral valve operation in the light of the literature. Methods. Between June 2004 and April 2009, 25 patients with mitral valve diseases associated with chronic atrial fibrillation underwent valve replacement and endocardial RFA with Medtronic cardioblade ablation pen at our clinic. There were 12 (%48) male and 13 (%52) female patients ranging in age from 23 to 67 years, with a mean age of 43.2 ± 10.6 years. The functional capacity of the patients were Class II in 6 (%24), Class III in 16 (%64), Class IV in 3 (%12)  according the NYHA functional classification. At the preoperative period all patients were evaluated by 12 lead electrocardiography (ECG) and transthorasic echocardiography (TTE). For the patients over 40 years old, coronary angiography was performed to rule out concomitant coranary artery disease. The patients were evaluated at the 1st, 3rd, 6th, 9th months and annually by 12 lead ECG, TTE and as needed Holter monitarization after discharging. Results. There was not any complication related with the ablation technique. There were no operative or early postoperative deaths (within 30 days). Thirteen patients reverted to sinus rhythm postoperatively. But SVT was seen in 3 patients, and they were treated with antiarrhythmic drugs. The remaining 9 patients were in AF. The mean follow up period is 9 months. During the follow up period, 16 patients were noted to be in normal sinus rhythm. Conclusion. RFA can be a useful and efficient technique for restoring normal sinus rhythm and atrial functions after mitral valve surgery performed in patients who have mitral valve disease associated with chronic atrial fibrillation. But further studies with larger number of patients are needed to confirm our results. Key words: Radiofrequency catheter ablation, atrial fibrillation, mitral valve Ozet Amac. Kronik Atriyal Fibrilasyonlu, mitral kapak hastaligi bulunan ve klinigimizde mitral kapak replasmani yapilan hastalarda intraoperatif uyguladigimiz Radyofrekans ablasyonunun (RF) etkinliginin belirlenmesi, kisa ve orta donem sonuclarinin literatur ile karsilastirilarak degerlendirilmesi amaclanmistir. Yontem. Haziran 2004 ve Nisan 2009 tarihleri arasinda klinigimizde kronik atriyal fibrilasyonlu 25 hastaya Medtronic cardioblade cerrahi ablasyon kalemi ile radyofrekans ablasyon tedavisi uygulandi. Hastalarin 12'si (%48) erkek 13'u (%52) bayandi. Ortalama yas 43,2 ± 10,6 (23-67) idi. Hastalarin fonksiyonel kapasiteleri NYHA siniflamasina gore 6'si (%24) sinif II, 16'si (%64) sinif III, 3'u (12) ise sinif IV idi. Butun hastalara standart 12 derivasyonlu EKG ve ekokardiyografi yapildi. Kirk yas uzeri hastalara muhtemel bir koroner arter hastaligini saptayabilmek amaci ile koroner anjiyografi yapildi. Hastalar taburcu edildiklerinden itibaren 1.ay, 3.ay, 6.ay ve 9.aylarda standart 12 Derivasyonlu EKG, Transtorasik Ekokardiyografi ile ve gereginde Holter monitarizasyonu ile takip edildi. Bulgular. Uygulanan yontemden kaynaklanan herhangi bir komplikasyon gozlenmedi. Ameliyat sirasinda ve hastanede olum olmadi. Ameliyat sonrasi 13 hastada sinus ritmi saglandi. Hastalarin 3 unde postoperatif donemde SVT gelisti. Antiaritmik tedavi sonrasi hastalarda sinus ritmi tesis edildi. Hastalarimizin 16'si sinus ritmi ile taburcu edildi. Ortalama takip suresi 9 aydi. 9 aylik takip sonunda 16 hastamiz sinus ritminde kaldi. Sonuc. AF'nin eslik ettigi romatizmal mitral kapak hastalarinda mitral kapak cerrahisi sonrasi radyofrekans ablasyon tedavisi sinus ritminin ve atriyal fonksiyonlarin geri donmesinde etkili ve yararli bir yontem olabilir ancak sonuclarin dogrulanmasi icin daha genis vaka sayili calismalar gerekmektedir.. Anahtar Sozcukler: Radyofrekans katater ablasyon, atriyal fibrilasyon, mitral kapak" @default.
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• W2165018109 date "2010-01-07" @default.
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• W2165018109 title "The efficiency of radiofrequency ablation therapy for the treatment of atrial fibrillation during concomitant mitral valve surgery; short and midterm results" @default.
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