ISSN 2149-2263 | E-ISSN 2149-2271
The Anatolian Journal of Cardiology
The surgical treatment of atrial fibrillation [Anatol J Cardiol]
Anatol J Cardiol. 2007; 7(1): 65-73

The surgical treatment of atrial fibrillation

Belhan Akpınar1, Ertan Sağbaş2, Mustafa Güden3, İlhan Sanisoğlu4
1From Clinic of Cardiovasculer Surgery, Florence Nightingale Hospital, Istanbul-Turkey
2Florence Nightingale Hastanesi, Kardiyoloji Kliniği, İstanbul-Türkiye
3Clinic of Cardiovascular Surgery, Sema Hospital, İstanbul-Turkey
4Florence Nightingale Hastanesi, Kalp ve Damar Cerrahisi Kliniği, İstanbul Türkiye

The surgical treatment of atrial fibrillation (AF) has entered a new era with the development of new tools and advanced techniques. The Maze III operation remains as the gold standard for the surgical treatment of AF. However new energy sources have been adopted for treating this arrhythmia in an effort to reduce the invasiveness and technical concerns with the original procedure. Success rates ranging between 70-98% have been reported using these new techniques. On the other hand, interventional cardiologists have further improved their techniques so that percutaneous techniques are competing with minimally invasive ablation techniques for the treatment of drug resistant and symptomatic lone AF. These developments have aroused the interest of cardiac surgeons in AF surgery and have found themselves a wide application. It has been estimated that thirty thousand patients have undergone surgical ablation for AF so far. Inevitably, procedure related complications have occurred and caused skepticism by some groups. However, surgical ablation has become a widely accepted treatment modality for AF patients undergoing concomitant cardiac surgery. The aim of this text is to make an overall review of the surgical treatment of AF and evaluate the current situation in view of the literature and the personal experience of the authors.

Keywords: Atrial fibrillation, Maze procedure, ablation

Atriyal fibrilasyonun cerrahi tedavisi

Belhan Akpınar1, Ertan Sağbaş2, Mustafa Güden3, İlhan Sanisoğlu4
1From Clinic of Cardiovasculer Surgery, Florence Nightingale Hospital, Istanbul-Turkey
2Florence Nightingale Hastanesi, Kardiyoloji Kliniği, İstanbul-Türkiye
3Clinic of Cardiovascular Surgery, Sema Hospital, İstanbul-Turkey
4Florence Nightingale Hastanesi, Kalp ve Damar Cerrahisi Kliniği, İstanbul Türkiye

Anahtar Kelimeler: Atriyal fibrilasyon, Maze ifllemi, ablasyon

Belhan Akpınar, Ertan Sağbaş, Mustafa Güden, İlhan Sanisoğlu. The surgical treatment of atrial fibrillation. Anatol J Cardiol. 2007; 7(1): 65-73
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

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