中国医学创新Issue(3)：28-30,3.DOI:10.3969/j.issn.1674-4985.2015.03.010
同期双极射频消融治疗先天性心脏病合并心房颤动
Hameochronous Bipolar Radiofrequency Ablation for Congenital Heart Disease Associated with Atrial Fibrillation Under the Open Heart Surgery
刘胜中 1谭今 1黄克力1
作者信息
- 1. 四川省医学科学院·四川省人民医院 四川 成都 610072
- 折叠
摘要
Abstract
Objective: To summarize the clinical experience of the hameochronous bipolar radiofrequency ablation for congenital heart disease associated with atrial fibrillation under the open heart surgery.Method: From April 2008 to March 2009, 4 cases of congenital heart disease patient associated with atrial fibrillation were received the open heart surgery and the hameochronous bipolar radiofrequency ablation operation by cardiopulmonary bypass. The clinical data of 4 cases was analyzed retrospectively.Result: All operation achieved success. Operation time, cardiopulmonary bypass time, aortic clamp time and bipolar radiofrequency ablation operation time were (228.25±31.75), (93.25±22.50), (57.50±20.75) and (17.75±2.25) minutes respectively. 3 patients were in sinus rhythm after the hearts beated again and 1 patient with ventricular fibrillation returned to sinus rhythm by electric defibrillation. No high degree atrioventricular block and death were found. Postoperative hospital stay was mean (9.25±1.25) days. All patients were in sinus rhythm when they were discharged from hospital. 4 patients were followed up from 5 to 6 years, and all were keeping in sinus rhythm. The postoperative right atrial diameter was reduced, compared with the preoperative right atrial diameter, the difference was statistically significant(P<0.05).Conclusion: The hameochronous bipolar radiofrequency ablation for congenital heart disease associated with atrial fibrillation under the open heart surgery is a safe procedure, and has a high maintenance ratio of sinus rhythm for long-term.关键词
先天性心脏病/心房颤动/双极射频消融/改良迷宫手术/心内直视手术Key words
Congenital heart diseas/Atrial fibrillation/Bipolar radiofrequency ablation/Modified maze procedure/Open heart surgery引用本文复制引用
刘胜中,谭今,黄克力..同期双极射频消融治疗先天性心脏病合并心房颤动[J].中国医学创新,2015,(3):28-30,3.
