Mid-term follow-up after maze IV procedures for concomitant atrial fibrillation

Ballaux, P.K.E.W.; Cathenis, K.K.J.; Brondeel, R.; Provenier, F.P.R.; Francois, B.A.A.; Goossens, D.J.A.; Hamerlijnck, R.P.H.M.

Acta Chirurgica Belgica 114(2): 99-104

2014


ISSN/ISBN: 0001-5458
PMID: 25073206
Document Number: 678300
We performed a retrospective analysis of the maze IV procedures performed in our surgical department for concomitant atrial fibrillation. Preoperative, in-hospital and postoperative follow-up data were collected from 46 consecutive patients who underwent the maze IV operation between April 2006 and December 2010. All electrocardiograms and Holters were reviewed. One patient died in-hospital. During a mean follow-up of 25 +/- 16.3 months seven patients died: two related to a hemorrhagic stroke, one due to right ventricular failure, the remainder deaths were not cardiac related. The success rate, defined as no recurrence of AF or atrial flutter with a blanking period of 6 months postoperatively, was 73.7%. Plots of probability of freedom of atrial fibrillation over time are drawn and reach a stable level after one year. The mid term results of the maze IV procedures for concomitant atrial fibrillation are very good. The results are stable for the remainder of follow-up.

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