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Specialty: Cardiovascular & Thoracic Surgery
Condition: Atrial Fibrillation

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Total 564 results found since Jan 2013.

Early and Long-Term Mortality in 536 Patients After the Cox-Maze III Procedure: A National Registry-Based Study ORIGINAL ARTICLES: ADULT CARDIAC
Conclusions Registry-based follow-up showed low early and long-term cardiovascular mortality and no stroke-related mortality. This is important baseline information when evaluating current surgical and nonsurgical treatment of atrial fibrillation.
Source: The Annals of Thoracic Surgery - April 30, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Albage, A., Jideus, L., Stahle, E., Johansson, B., Berglin, E. Tags: Electrophysiology - arrhythmias ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Minimally Invasive Fibrillating Heart Surgery: A Safe and Effective Approach for Mitral Valve and Surgical Ablation for Atrial Fibrillation.
CONCLUSIONS: We demonstrated that low operative mortality and low stroke rate with MI fibrillating cardiac operations without cross-clamping allows for MVS and AF ablation. Our results suggest that the MI fibrillating heart approach is safe and effective. PMID: 23773732 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 15, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Massimiano PS, Yanagawa B, Henry L, Holmes SD, Pritchard G, Ad N Tags: Ann Thorac Surg Source Type: research

A meta‐analysis of transcatheter closure of patent foramen ovale versus medical therapy for prevention of recurrent thromboembolic events in patients with cryptogenic cerebrovascular events
ConclusionIn this meta‐analysis of contemporary RCTs, successful transcatheter closure of PFO might be more effective than medical therapy alone for the prevention of recurrent thromboembolic events. © 2013 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - July 5, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Andrés M. Pineda, Francisco O. Nascimento, Solomon Yang, Ajay Kirtane, Robert Sommer, Nirat Beohar Tags: Original Studies Source Type: research

151 * comparison of intermittent cold versus intermittent warm blood cardioplegia in 2200 adult cardiac surgery patients
Conclusions: In elective cardiac surgery, there was no difference in clinical outcome between cold and warm blood cardioplegia. In emergency patients, however, with most of them operated on in acute coronary syndrome, warm cardioplegia might be an option to improve outcome.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Trescher, K., Gleiss, A., Boxleitner, M., Dietl, W., Kassal, H., Holzinger, C., Podesser, B. Tags: Cardiac potpourri Source Type: research

Left Atrial Appendage Resection Versus Preservation During the Surgical Ablation of Atrial Fibrillation.
CONCLUSIONS: Preservation of the LAA during the Maze procedure resulted in similar clinical and rhythm outcomes, but LA contractile function superior to that of LAA resection. PMID: 24075500 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 24, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Lee CH, Kim JB, Jung SH, Choo SJ, Chung CH, Lee JW Tags: Ann Thorac Surg Source Type: research

Mechanical closure of the left atrial appendage: Is it time to be more aggressive?
Atrial fibrillation (AF) is present in 1% to 2% of the general population, and its prevalence has been predicted to increase more than fivefold within the next 40 years. Patients with AF are at least five times more likely to have a stroke than patients without AF. Approximately 90% of all strokes are ischemic, and 15% to 20% of all ischemic strokes are associated with AF. The left atrial appendage (LAA) is the site of more than 90% of detected thrombi in patients with AF. As a result of the recent development of potentially safer and more effective percutaneous devices and minimally invasive surgical techniques for closi...
Source: The Journal of Thoracic and Cardiovascular Surgery - September 3, 2013 Category: Cardiovascular & Thoracic Surgery Authors: James L. Cox Tags: Editorial Source Type: research

The effect of the Cox-maze procedure for atrial fibrillation concomitant to mitral and tricuspid valve surgery
Objectives: Atrial fibrillation (AF) is associated with less favorable outcomes in patients undergoing mitral valve and tricuspid valve surgery. Despite growing evidence on the potential benefits of surgical ablation for AF there is significant variability among surgeons in treatment of AF. The purpose of our study was to assess the effect of the Cox-maze procedure on operative and follow-up outcomes.Methods: In our prospective study, patients who underwent isolated mitral valve or mitral valve+tricuspid valve surgery without history of AF (n = 506), with untreated AF (n = 75), or with Cox-maze procedure (n = 236) we...
Source: The Journal of Thoracic and Cardiovascular Surgery - September 30, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Niv Ad, Sari D. Holmes, Paul S. Massimiano, Graciela Pritchard, Lori E. Stone, Linda Henry Tags: Acquired Cardiovascular Disease Source Type: research

Results of percutaneous closure of patent foramen ovale with the GORE ® Septal Occluder
Conclusion. PFO closure with the GSO is accompanied by a high technical success rate and closure rates similar to other currently used devices. The incidence of atrial fibrillation was higher than reported with most other devices. This may be a chance finding but warrants further investigation in larger trials. © 2013 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - December 10, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Meike Knerr, Stefan Bertog, Laura Vaskelyte, Ilona Hofmann, Horst Sievert Tags: Original Study Source Type: research

Should surgical ablation for atrial fibrillation be performed in patients with a significantly enlarged left atrium?
Conclusions: The large left atrium group had acceptable return to sinus rhythm and sinus rhythm without antiarrhythmic drugs. The embolic stroke rate was low despite the majority of patients not taking anticoagulation. If patients are managed appropriately post-ablation, left atrial size should not be a discouragement when evaluating surgical candidates with atrial fibrillation.
Source: The Journal of Thoracic and Cardiovascular Surgery - November 4, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Niv Ad, Linda Henry, Sharon Hunt, Sari D. Holmes Tags: Acquired Cardiovascular Disease Source Type: research

Results of percutaneous closure of patent foramen ovale with the GORE® septal occluder
ConclusionPFO closure with the GSO is accompanied by a high technical success rate and closure rates similar to other currently used devices. The incidence of AF was higher than reported with most other devices. This may be a chance finding but warrants further investigation in larger trials. © 2013 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 20, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Meike Knerr, Stefan Bertog, Laura Vaskelyte, Ilona Hofmann, Horst Sievert Tags: Valvular and Structural Heart Diseases Source Type: research

Advanced age and incidence of atrial fibrillation in the postoperative period of aortic valve replacement
Conclusion: Post-operative atrial fibrillation incidence in aortic valve replacement is high and correlates with age in patients aged 70 years and older and significantly more pronounced in patients aged 80 years. There was increased length of stay at Intensive Care Unit and hospital, but there was no increase in mortality or stroke. These data are important for planning prophylaxis and early treatment for this subgroup.
Source: Revista Brasileira de Cirurgia Cardiovascular - June 3, 2014 Category: Cardiovascular & Thoracic Surgery Source Type: research

Does off-pump coronary revascularization confer superior organ protection in re-operative coronary artery surgery? a meta-analysis of observational studies
Off-pump coronary artery bypass surgery (OPCAB) has been hypothesised to be beneficial in the high-risk patient population undergoing re-operative coronary artery bypass graft surgery (CABG). In addition, this technique has been demonstrated to provide subtle benefits in end-organ function including heart, lungs and kidney. The aims of this study were to assess whether OPCAB is associated with a lower incidence of major adverse cardiovascular and cerebrovascular events (MACCE) and other adverse outcomes in re-operative coronary surgery. Twelve studies, incorporating 3471 patients were identified by systematic literature re...
Source: Journal of Cardiothoracic Surgery - June 24, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Amir SepehripourLeanne HarlingHutan AshrafianRoberto CasulaThanos Athanasiou Source Type: research

Long-Term Outcomes after Mitral Valve Repair for Degenerative Mitral Regurgitation with Persistent Atrial Fibrillation.
Conclusion Maze procedure can have a positive effect on long-term survival, freedom from stroke, and cardiac function. PMID: 25025890 [PubMed - as supplied by publisher]
Source: The Thoracic and Cardiovascular Surgeon - July 15, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Murashita T, Okada Y, Kanemitsu H, Fukunaga N, Konishi Y, Nakamura K, Koyama T Tags: Thorac Cardiovasc Surg Source Type: research

Long-Term Outcomes after Mitral Valve Repair for Degenerative Mitral Regurgitation with Persistent Atrial Fibrillation
Conclusion Maze procedure can have a positive effect on long-term survival, freedom from stroke, and cardiac function.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text
Source: The Thoracic and Cardiovascular Surgeon - July 15, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Murashita, TakashiOkada, YukikatsuKanemitsu, HideoFukunaga, NaotoKonishi, YasunobuNakamura, KenKoyama, Tadaaki Tags: Original Cardiovascular Source Type: research

Short-term clinical outcomes between intermittent cold versus intermittent warm blood cardioplegia in 2200 adult cardiac surgery patients.
CONCLUSION: The comparison of IWC and ICC blood cardioplegia in different cardiosurgical procedures showed no statistical significant difference in myocardial protection. The use of ICC, however, appeared overall associated with a slightly better clinical outcome except in patients undergoing urgent/emergent CABG where IWC led to a reduction in 30--day--mortality. PMID: 25673099 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Surgery - February 12, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Trescher K, Gleiss A, Boxleitner M, Dietl W, Kassal H, Holzinger C, Podesser BK Tags: J Cardiovasc Surg (Torino) Source Type: research