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Atrial arrhythmias ablation in a patient post mitral valve replacement surgery and cox-maze procedure
- Source :
- Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam. 33:49-54
- Publication Year :
- 2021
- Publisher :
- The Vietnam Journal of Cardiovascular and Thoracic Surgery, 2021.
-
Abstract
- Objective: Cox Maze procedure is an effective surgical treatment of atrial fibrillation and it is often performed concomitantly with mitral valve surgery. However, some patients still experience atrial tachyarrhythmia post-surgery, which adversely affects heart function as well as their quality of life. Method: We present the case of a 66-year-old female patient who underwent mitral valve replacement with a bio-prosthesis and Cox-Maze procedure; she was later admitted to our center after 14 months due to pneumonia and atrial tachycardia. An electrophysiology study/ intervention was performed. Result: We successfully determined the mechanism and ablated the atrial tachyarrhythmia. The sinus rhythm was restored and was maintained 3 months post-procedure, with amelioration of the left ventricular function. Conclusion: Electrophysiology study with electro-anatomy mapping can help to determine the mechanism of arrhythmia to guide successful ablation of post-operative arrhythmia
Details
- ISSN :
- 08667551
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam
- Accession number :
- edsair.doi...........b3c678f68b72345ae9f69b3cdcf1f969
- Full Text :
- https://doi.org/10.47972/vjcts.v33i.564