Surgical treatment of incisional tachycardia and atrial fibrillation in patients with mitral valve prosthesis: should we be scared?

Mitral valve disease, including dysfunction of the mitral valve, is often accompanied by atrial fibrillation. Among the patients with prosthetic mitral valves, atrial fibrillation occurs in 30–50% cases. Development of atrial arrhythmias and incisional tachycardia in the early and late postoperative...

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Main Authors: O. V. Sapelnikov, O. A. Nikolaeva, D. F. Ardus, D. I. Cherkashin, I. R. Grishin, N. B. Shlevkov, A. A. Zhambeev, H. F. Salami, R. S. Akchurin
Format: Article
Language:English
Published: Meshalkin National Medical Research Center 2018-11-01
Series:Патология кровообращения и кардиохирургия
Subjects:
Online Access:http://dx.doi.org/10.21688/1681-3472-2018-3-75-80
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author O. V. Sapelnikov
O. A. Nikolaeva
D. F. Ardus
D. I. Cherkashin
I. R. Grishin
N. B. Shlevkov
A. A. Zhambeev
H. F. Salami
R. S. Akchurin
author_facet O. V. Sapelnikov
O. A. Nikolaeva
D. F. Ardus
D. I. Cherkashin
I. R. Grishin
N. B. Shlevkov
A. A. Zhambeev
H. F. Salami
R. S. Akchurin
author_sort O. V. Sapelnikov
collection DOAJ
description Mitral valve disease, including dysfunction of the mitral valve, is often accompanied by atrial fibrillation. Among the patients with prosthetic mitral valves, atrial fibrillation occurs in 30–50% cases. Development of atrial arrhythmias and incisional tachycardia in the early and late postoperative periods can significantly influence patients’ rehabilitation and prognosis. Our clinical case describes a patient with a mechanical mitral valve and incisional tachycardia, which led to progression of heart failure and reduced left ventricular systolic function. The patient underwent catheter ablation with non-invasive myocardium mapping. The case reveals the potentials of treatment of incisional tachycardia and atrial fibrillation, which do not respond to drug therapy. Modern methods of visualization enable the cardiac surgeons to reduce possible intraoperative risks and development of complications in this group of patients.
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spelling doaj.art-0b7d25c2c30b4c59a4f94cf98babb34e2023-09-02T11:16:58ZengMeshalkin National Medical Research CenterПатология кровообращения и кардиохирургия1681-34722500-31192018-11-01223758010.21688/1681-3472-2018-3-75-80Surgical treatment of incisional tachycardia and atrial fibrillation in patients with mitral valve prosthesis: should we be scared?O. V. Sapelnikov0O. A. Nikolaeva1D. F. Ardus2D. I. Cherkashin3I. R. Grishin4N. B. Shlevkov5A. A. Zhambeev6H. F. Salami7R. S. Akchurin8National Medical Research Center of Cardiology, Moscow, Russian FederationNational Medical Research Center of Cardiology, Moscow, Russian FederationI.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian FederationNational Medical Research Center of Cardiology, Moscow, Russian FederationNational Medical Research Center of Cardiology, Moscow, Russian FederationNational Medical Research Center of Cardiology, Moscow, Russian FederationNational Medical Research Center of Cardiology, Moscow, Russian FederationNational Medical Research Center of Cardiology, Moscow, Russian FederationNational Medical Research Center of Cardiology, Moscow, Russian FederationMitral valve disease, including dysfunction of the mitral valve, is often accompanied by atrial fibrillation. Among the patients with prosthetic mitral valves, atrial fibrillation occurs in 30–50% cases. Development of atrial arrhythmias and incisional tachycardia in the early and late postoperative periods can significantly influence patients’ rehabilitation and prognosis. Our clinical case describes a patient with a mechanical mitral valve and incisional tachycardia, which led to progression of heart failure and reduced left ventricular systolic function. The patient underwent catheter ablation with non-invasive myocardium mapping. The case reveals the potentials of treatment of incisional tachycardia and atrial fibrillation, which do not respond to drug therapy. Modern methods of visualization enable the cardiac surgeons to reduce possible intraoperative risks and development of complications in this group of patients.http://dx.doi.org/10.21688/1681-3472-2018-3-75-80case reportatrial fibrillationincisional tachycardiaatrial fluttermitral valve replacement
spellingShingle O. V. Sapelnikov
O. A. Nikolaeva
D. F. Ardus
D. I. Cherkashin
I. R. Grishin
N. B. Shlevkov
A. A. Zhambeev
H. F. Salami
R. S. Akchurin
Surgical treatment of incisional tachycardia and atrial fibrillation in patients with mitral valve prosthesis: should we be scared?
Патология кровообращения и кардиохирургия
case report
atrial fibrillation
incisional tachycardia
atrial flutter
mitral valve replacement
title Surgical treatment of incisional tachycardia and atrial fibrillation in patients with mitral valve prosthesis: should we be scared?
title_full Surgical treatment of incisional tachycardia and atrial fibrillation in patients with mitral valve prosthesis: should we be scared?
title_fullStr Surgical treatment of incisional tachycardia and atrial fibrillation in patients with mitral valve prosthesis: should we be scared?
title_full_unstemmed Surgical treatment of incisional tachycardia and atrial fibrillation in patients with mitral valve prosthesis: should we be scared?
title_short Surgical treatment of incisional tachycardia and atrial fibrillation in patients with mitral valve prosthesis: should we be scared?
title_sort surgical treatment of incisional tachycardia and atrial fibrillation in patients with mitral valve prosthesis should we be scared
topic case report
atrial fibrillation
incisional tachycardia
atrial flutter
mitral valve replacement
url http://dx.doi.org/10.21688/1681-3472-2018-3-75-80
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