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- W2369348519 abstract "Objective To evaluate the benefits of modified maze procedure and left atrial plication(LAP) during mitral valvular replacement in patients with chronic atrial fibrillation and giant left atrium associated with mitral valve disease.Methods Forty patients with chronic atrial fibrillation and giant left atrium(left atrial volume index over 55 mL/m2)associated with mitral valve disease were treated by modified maze procedure and mitral valvular replacement.Among them,20 patients underwent LAP at the same time(LAP group).CoxⅢ maze procedure was modified in four aspects.The patient's changes of heart electricity activity and NYHA were observed by Electrocardiogram and Echocardiogram in all patients,and the follow-up study was made for 12 months.Results The rate of restoration to sinus rhythm was higher in LAP group than that in the control group(85% vs 55%,P0.01).The improvement of the NYHA classes was greater in LAP group than that in the control group(2.01±0.66和1.06±0.63,P0.01).The Left atrial volume index(LAVI) was smaller in LAP group than that in the control group(39.98±9.05 vs 52.25±14.02,P0.01).The left ventricular ejection fraction was higher in LAP group than that in the control group [(64.01±7.15)% vs(55.67±5.33)%,P0.01].Conclusion For the patients with chronic atrial fibrillation and giant left atrium associated with mitral valve disease,LAP combined modified maze procedure during mitral valvular replacement is the effective treatment in treating chronic atrial fibrillation,maintaining sinus rhythm and improving atrial and ventricular contraction functions." @default.
- W2369348519 created "2016-06-24" @default.
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- W2369348519 date "2008-01-01" @default.
- W2369348519 modified "2023-10-03" @default.
- W2369348519 title "Surgical Treatment of Chronic Atrial Fibrillation and Giant Left Atrium Associated with Mitral Valve Disease" @default.
- W2369348519 hasPublicationYear "2008" @default.
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