The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 4 , Pages 860-867 , April 2010

Where does atrial fibrillation surgery fail? Implications for increasing effectiveness of ablation

Read at the Eighty-ninth Annual Meeting of The American Association for Thoracic Surgery, Boston, Mass, May 9–13, 2009.

  • Patrick M. McCarthy, MD

      Affiliations

    • Division of Cardiothoracic Surgery, the Bluhm Cardiovascular Institute, Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital, Chicago, Ill
    • Corresponding Author InformationAddress for reprints: Patrick M. McCarthy, MD, Feinberg School of Medicine, Northwestern University, Division of Cardiothoracic Surgery, 201 East Huron St, Suite 11-140, Chicago, IL 60611-2908.
    • ,
  • Jane Kruse, RN

      Affiliations

    • Division of Cardiothoracic Surgery, the Bluhm Cardiovascular Institute, Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital, Chicago, Ill
    • ,
  • Shanaz Shalli, MD

      Affiliations

    • Division of Cardiothoracic Surgery, the Bluhm Cardiovascular Institute, Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital, Chicago, Ill
    • ,
  • Leonard Ilkhanoff, MD

      Affiliations

    • Division of Cardiology, Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital, Chicago, Ill
    • ,
  • Jeffrey J. Goldberger, MD

      Affiliations

    • Division of Cardiology, Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital, Chicago, Ill
    • ,
  • Alan H. Kadish, MD

      Affiliations

    • Division of Cardiology, Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital, Chicago, Ill
    • ,
  • Rishi Arora, MD

      Affiliations

    • Division of Cardiology, Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital, Chicago, Ill
    • ,
  • Richard Lee, MD

      Affiliations

    • Division of Cardiothoracic Surgery, the Bluhm Cardiovascular Institute, Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital, Chicago, Ill

Received 22 May 2009 ,Revised 25 November 2009 ,Accepted 28 December 2009.

References 

  1. Quader MA, McCarthy PM, Gillinov AM, et al. Does preoperative atrial fibrillation reduce survival after coronary artery bypass grafting?. Ann Thorac Surg. 2004;77:1514–1522
  2. Ngaage DL, Schaff HV, Mullany CJ, et al. Does preoperative atrial fibrillation influence early and late outcomes of coronary artery bypass grafting?. J Thorac Cardiovasc Surg. 2007;133:182–189
  3. Ngaage DL, Schaff HV, Barnes SA, et al. Prognostic implications of preoperative atrial fibrillation in patients undergoing aortic valve replacement: is there an argument for concomitant arrhythmia surgery?. Ann Thorac Surg. 2006;82:1392–1399
  4. Ngaage DL, Schaff HV, Mullany CJ, et al. Influence of preoperative atrial fibrillation on late results of mitral repair: is concomitant ablation justified?. Ann Thorac Surg. 2007;84:434–442
  5. Lim E, Barlow CW, Hosseinpour AR, et al. Influence of atrial fibrillation on outcome following mitral valve repair. Circulation. 18 2001;104(suppl 1):I59–I63
  6. Gammie JS, Haddad M, Milford-Beland S, et al. Atrial fibrillation correction surgery: lessons from the Society of Thoracic Surgeons National Cardiac Database. Ann Thorac Surg. 2008;85:909–914
  7. Calkins H, Brugada J, Packer DL, et al. HRS/EHRA/ECAS expert Consensus Statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. A report of the Heart Rhythm Society (HRS) Task Force on catheter and surgical ablation of atrial fibrillation. Heart Rhythm. 2007;4:816–861
  8. Blomstrom-Lundqvist C, Johansson B, Berglin E, et al. A randomized double-blind study of epicardial left atrial cryoablation for permanent atrial fibrillation in patients undergoing mitral valve surgery: the SWEDish Multicentre Atrial Fibrillation study (SWEDMAF). Eur Heart J. 2007;28:2902–2908
  9. Shemin RJ, Cox JL, Gillinov AM, Blackstone EH, Bridges CR. Guidelines for reporting data and outcomes for the surgical treatment of atrial fibrillation. Ann Thorac Surg. 2007;83:1225–1230
  10. Gillinov AM, Bhavani S, Blackstone EH, et al. Surgery for permanent atrial fibrillation: impact of patient factors and lesion set. Ann Thorac Surg. 2006;82:502–513
  11. Gillinov AM, Bakaeen F, McCarthy PM, et al. Surgery for paroxysmal atrial fibrillation in the setting of mitral valve disease: a role for pulmonary vein isolation?. Ann Thorac Surg. 2006;81:19–27
  12. Barnett SD, Ad N. Surgical ablation as treatment for the elimination of atrial fibrillation: a meta-analysis. J Thorac Cardiovasc Surg. 2006;131:1029–1035
  13. Beyer E, Lee R, Lam BK. Point: minimally invasive bipolar radiofrequency ablation of lone atrial fibrillation: early multicenter results. J Thorac Cardiovasc Surg. 2009;137:521–526
  14. Melo J, Santiago T, Aguiar C, et al. Surgery for atrial fibrillation in patients with mitral valve disease: results at five years from the International Registry of Atrial Fibrillation Surgery. J Thorac Cardiovasc Surg. 2008;135:863–869
  15. Badhwar V, Rovin JD, Davenport G, et al. Left atrial reduction enhances outcomes of modified maze procedure for permanent atrial fibrillation during concomitant mitral surgery. Ann Thorac Surg. 2006;82:1758–1764
  16. Ninet J, Roques X, Seitelberger R, et al. Surgical ablation of atrial fibrillation with off-pump, epicardial, high-intensity focused ultrasound: results of a multicenter trial. J Thorac Cardiovasc Surg. 2005;130:803–809
  17. Gillinov AM, McCarthy PM. Advances in the surgical treatment of atrial fibrillation. Cardiol Clin. 2004;22:147–157
  18. Stulak JM, Dearani JA, Sundt TM, et al. Superiority of cut-and-sew technique for the Cox maze procedure: comparison with radiofrequency ablation. J Thorac Cardiovasc Surg. 2007;133:1022–1027
  19. Melby SJ, Zierer A, Bailey MS, et al. A new era in the surgical treatment of atrial fibrillation: the impact of ablation technology and lesion set on procedural efficacy. Ann Surg. 2006;244:583–592
  20. Groh MA, Binns OA, Burton HG, Champsaur GL, Ely SW, Johnson AM. Epicardial ultrasonic ablation of atrial fibrillation during concomitant cardiac surgery is a valid option in patients with ischemic heart disease. Circulation. 2008;118(suppl):S78–S82
  21. Wazni OM, Saliba W, Fahmy T, et al. Atrial arrhythmias after surgical maze: findings during catheter ablation. J Am Coll Cardiol. 2006;48:1405–1409
  22. Akar JG, Al-Chekakie MO, Hai A, et al. Surface electrocardiographic patterns and electrophysiologic characteristics of atrial flutter following modified radiofrequency MAZE procedures. J Cardiovasc Electrophysiol. 2007;18:349–355

 Disclosures: Jane Kruse is on the Advisory Board for LifeWatch. Dr Alan H. Kadish is on the Advisory Board for LifeWatch and Impulse Dynamic. Dr Rishi Arora received speaker/lecture fees in 2008 from Sanofi Aventis. Dr Richard Lee is on the Advisory Board for Medtronic and Sanofi Aventis.

PII: S0022-5223(10)00025-5

doi: 10.1016/j.jtcvs.2009.12.038

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 4 , Pages 860-867 , April 2010

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