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二尖瓣成形术中左心房内射频消融治疗房颤 被引量：1

Treatment of Atrial Fibrillation with Intra-Left Atrial Radiofrequency Maze Ablation During Mitral Valve Plasty
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摘要 目的 对二尖瓣疾病患者行二尖瓣成形术的同时进行术中射频消融术治疗心房纤颤(AF)。方法 3例风湿性二尖瓣狭窄或关闭不全合并AF的病人,体外循环下,降温至30℃,阻断升主动脉,应用含血心保护液停搏心脏后,经房间沟切开左心房前壁,先应用射频探条行射频消融治疗,再作二尖瓣成形术。 结果 完成心内操作后,3例心脏均自动复跳,AF消失;其中2例当即恢复窦性节律,另1例为交界性心律。停辅助循环后作经食管心脏彩超,示三尖瓣狭窄解除,1例无返流,2例轻度返流。术后随访18个月,1例AF复发;2例AF消失。 结论 射频消融仪行术中消融是治疗AF简便、有效的方法。其远期效果有待进一步随访。
作者 陈长志 周嘉 池浩 陈彤宇 周文雄 汤敏
机构地区 上海第二医科大学仁济医院心胸外科
出处 《上海第二医科大学学报》 CSCD 2003年第3期274-276,共3页 Acta Universitatis Medicinalis Secondae Shanghai
关键词 二尖瓣成形术 左心房 射频消融术 心房纤颤 体外循环 心内直视术
分类号 R654.2 [医药卫生—外科学]
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参考文献10

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同被引文献10

  • 1STUART P T,IAN A N,GRAHAM R N,et al. Radiofrequency lesions produced by handheld temperature controlled probes for use in antral fibrillation surgery. European Journal of Cardio-thoracic Surgery, 2001,20:118893.
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  • 9STEFANO B,CARLO P,SIMONA N,et al. A simpie way to treat chronic antral fibrillation during mitral valve surgery:the epicardial radiofrequency approach. European Journal of Cardio-thoraeieSurgery, 2000,17 : 524.
  • 10JOAO M,PEDRO A,JOSE N,et ah Endocardial and epicardial radiofrequency ablation in the treatment of antral fibrillation with a new intra-operative device.European Journal of cardio-thoracic Surgery, 2000,18:182.

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上海第二医科大学学报
2003年 第3期

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