Atrial compartment surgery for chronic atrial fibrillation associated with congenital heart defects

F. Y. Lin, J. H. Huang, J. L. Lin, W. J. Chen, H. M. Lo, S. H. Chu

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

In three adult patients, two with atrial septal defect and one with Ebstein's anomaly, chronic atrial fibrillation was documented for 13, 21, and 3 years, respectively. Atrial compartment surgery was performed for ablation of the atrial fibrillation concomitant with repair of the cardiac defects. The operation was performed with traditional cardiopulmonary bypass and crystalloid cardioplegia myocardial protection. A U-shaped incision was made in the right atrium: a longitudinal incision 1 cm lateral and parallel to the sulcus terminalis, extending along the borders of the atrial septum to 3 cm (upper margin) and 1 cm (lower margin) distant to the tricuspid anulus. Cryolesions of the atrial isthmus between the upper incision margin and the tricuspid valve anulus were created at -60°C for 180 seconds at a time. After the operation, all three patients had restored and maintained normal sinus rhythm during follow-up periods of 32, 16, and 3 months. Doppler echocardiography detected the recovery of atrial contractility in all three patients. Atrial compartment surgery is a simple and effective method for elimination of chronic atrial fibrillation associated with congenital heart defects.

Original languageEnglish
Pages (from-to)231-237
Number of pages7
JournalJournal of Thoracic and Cardiovascular Surgery
Volume111
Issue number1
DOIs
Publication statusPublished - Jan 1 1996
Externally publishedYes

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Congenital Heart Defects
Atrial Fibrillation
Ebstein Anomaly
Atrial Septum
Induced Heart Arrest
Tricuspid Valve
Atrial Heart Septal Defects
Doppler Echocardiography
Heart Atria
Cardiopulmonary Bypass

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Atrial compartment surgery for chronic atrial fibrillation associated with congenital heart defects. / Lin, F. Y.; Huang, J. H.; Lin, J. L.; Chen, W. J.; Lo, H. M.; Chu, S. H.

In: Journal of Thoracic and Cardiovascular Surgery, Vol. 111, No. 1, 01.01.1996, p. 231-237.

Research output: Contribution to journalArticle

Lin, F. Y. ; Huang, J. H. ; Lin, J. L. ; Chen, W. J. ; Lo, H. M. ; Chu, S. H. / Atrial compartment surgery for chronic atrial fibrillation associated with congenital heart defects. In: Journal of Thoracic and Cardiovascular Surgery. 1996 ; Vol. 111, No. 1. pp. 231-237.
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