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Yeungnam Univ J Med > Volume 22(1); 2005 > Article
Yeungnam University Journal of Medicine 2005;22(1):13-26.
DOI: https://doi.org/10.12701/yujm.2005.22.1.13    Published online June 30, 2005.
Recent Advances in Surgery for Atrial Fibrillation.
Dong Hyup Lee, Tae Eun Jung
Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University, Daegu, Korea. dhlee@med.yu.ac.kr
Abstract
Atrial fibrillation (AF) is the most common cardiac rhythm disturbance, which carries significant cardiovascular morbidity and mortality. The medical treatment for AF is cumbersome and unsatisfactory, which has highlighted the need to develop alternative treatments for AF. The recent discovery that AF is often initiated by atrial ectopic beats has resulted in treatments designed to target the ectopic sources, particularly those within the pulmonary veins. Building on the pioneering work of Cox et al., a recent reported series demonstrated the feasibility of treating patients undergoing cardiac surgery for other structural heart diseases with limited, left-atrial ablation lesion sets using alternative energy sources. As less complex modifications of the Maze procedure have been developed, a number of energy sources have been introduced to create of electrically isolating lesions within the atria. These sources have been used both endocardially in arrest heart procedures as well as epicardially in a beating heart setting. This review summarizes the recent advances in surgery for AF that will aid in the development of an effective, minimally invasive surgical procedure to cure patients with AF.
Key Words: Atrial fibrillation, Left-atrial ablation, Alternative energy sources, Minimally invasive surgery


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