Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 노선균 | - |
dc.date.accessioned | 2018-03-19T01:23:34Z | - |
dc.date.available | 2018-03-19T01:23:34Z | - |
dc.date.issued | 2014-03 | - |
dc.identifier.citation | Circulation journal : official journal of the Japanese Circulation Society, v.78 no.6[2014년], pp.1364 - 1371 | en_US |
dc.identifier.issn | 1346-9843 | - |
dc.identifier.issn | 1347-4820 | - |
dc.identifier.uri | https://www.jstage.jst.go.jp/article/circj/78/6/78_CJ-13-1533/_article/-char/en | - |
dc.identifier.uri | http://hdl.handle.net/20.500.11754/48590 | - |
dc.description.abstract | Background:?The clinical benefit of concomitant atrial fibrillation (AF) ablation at the time of aortic valve replacement (AVR) is uncertain. Methods and Results:?A total of 124 patients with AF who underwent AVR with (n=50) or without (n=74) a concomitant maze procedure, between 2000 and 2011, were evaluated. There were no significant differences in early postoperative outcomes. During a median clinical follow-up of 18.1 months (interquartile range: 6.9?47.8 months), 19 late deaths (15.3%) and 33 valve-related complications (26.6%) occurred, but the differences between groups were not statistically significant. Major event-free survival at 5 years was 60.9±9.9% vs. 57.0±10.3% (P=0.41). After adjustment, the maze group demonstrated similar risks for major adverse cardiac events (hazard ratio, 1.18; 95% confidence interval, 0.56?2.49; P=0.67). However, the rate of sinus rhythm restoration at 4 years was significantly higher in the maze group (80.6% vs. 3.6%, P<0.001). Left atrial dimension was smaller (46.9 vs. 50.4mm, P=0.017), and the ejection fraction was higher (60.6% vs. 58.0%, P=0.059) in the maze group. The rate of postoperative anticoagulation was also lower in the maze group (53.1% vs. 89.2%, P<0.001). Conclusions:?Concomitant AF ablation in patients undergoing AVR resulted in increased sinus rhythm restoration, better echocardiographic results, and decreased anticoagulation requirement, without increasing surgical morbidity or mortality.??(Circ J?2014; 78: 1364?1371) | en_US |
dc.language.iso | en | en_US |
dc.publisher | Nihon Junkanki Gakkai. | en_US |
dc.subject | Aortic valve replacement | en_US |
dc.subject | Atrial fibrillation | en_US |
dc.subject | Maze procedure | en_US |
dc.title | Impact of concomitant surgical atrial fibrillation ablation in patients undergoing aortic valve replacement. | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.1253/circj.CJ-13-1533 | - |
dc.relation.journal | CIRCULATION JOURNAL | - |
dc.contributor.googleauthor | Yoo, Jae Suk | - |
dc.contributor.googleauthor | Kim, Joon Bum | - |
dc.contributor.googleauthor | Ro, Sun Kyun | - |
dc.contributor.googleauthor | Jung, Yoonsuh | - |
dc.contributor.googleauthor | Jung, Sung-Ho | - |
dc.contributor.googleauthor | Choo, Suk Jung | - |
dc.contributor.googleauthor | Lee, Jae Won | - |
dc.contributor.googleauthor | Chung, Cheol Hyun | - |
dc.contributor.googleauthor | 노선균 | - |
dc.relation.code | 2014027273 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | skro | - |
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