Left Atrial Reduction Plasty and Sinus Rhythm Restoration in patients undergoing Mitral Valve Surgery with Chronic Atrial Fibrillation
Objective: To assess outcome of Left Atrial reduction plasty and sinus rhythm restoration in patients undergoing Mitral valve surgery with chronic Atrial Fibrillation. Study Design: Longitudinal study. Place and Duration of Study: Adult Cardiac Surgery Unit, Armed Forces Institute of Cardiology...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2023-12-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/PAFMJ/article/view/10935 |
| _version_ | 1797340993684504576 |
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| author | Nasir Ali Atif Nawaz Imtiaz Ahmed Chaudhry Muhammad Imran Asghar Syed Aqeel Hussain Rehan Masroor Muhammad Ahmad Khan |
| author_facet | Nasir Ali Atif Nawaz Imtiaz Ahmed Chaudhry Muhammad Imran Asghar Syed Aqeel Hussain Rehan Masroor Muhammad Ahmad Khan |
| author_sort | Nasir Ali |
| collection | DOAJ |
| description |
Objective: To assess outcome of Left Atrial reduction plasty and sinus rhythm restoration in patients undergoing Mitral valve surgery with chronic Atrial Fibrillation.
Study Design: Longitudinal study.
Place and Duration of Study: Adult Cardiac Surgery Unit, Armed Forces Institute of Cardiology/National Institute of Heart
Diseases, Rawalpindi Pakistan, from Jan 2017-Jun 2022.
Methodology: Thirty three (n=33) patients with mitral valve disease were recruited via convenience sampling, all of whom
exhibited an enlarged left atrium and pre-operative Atrial Fibrillation (AF). Pre-operative cardiac evaluations were performed using Transthoracic Echocardiography (TTE). Pre- and post-surgery trans-esophageal echocardiography studies were conducted as a routine procedure. Follow-up echocardiographic assessments were carried out at intervals of 1 month, 3 months, and 6 months, alongside Electrocardiograms (ECGs). During surgery, median sternotomy was done.
Cardiopulmonary Bypass (CPB) time was established followed by cardiac arrest. After Mitral valve Repair/Replacement
(MVR), Left Atrial (LA) plication was done by a double needle.
Results: Out of thirty three (n=33) patients, 25(75.7%) females and 8(24.2%) male patients, with mean age of 44.3±15.5 years, underwent mitral valve surgery(repair/replacement) followed by LA reduction & sinus rhythm restoration procedure.
Complete restoration of sinus rhythm with re-appearance of “a” wave on echocardiography, signifying LA transport function
through mitral valve was observed in 31(93.9%) patients on 3rd month and only 1(3.0%) individual continued to have
persistent AF after 6 months. (83.70±2.50 mm vs. 47.50±1.08 mm) (p<0.001)..................
Conclusion: Left atrial reduction by “Plication technique” followed by “Diathermy Fulguration” as a part of mitral valve
surgery has yielded ...............
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| first_indexed | 2024-03-08T10:11:27Z |
| format | Article |
| id | doaj.art-207b539b852f400d8c61079f9c5baa90 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-03-08T10:11:27Z |
| publishDate | 2023-12-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-207b539b852f400d8c61079f9c5baa902024-01-29T08:23:26ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-12-0173SUPPL-310.51253/pafmj.v73iSUPPL-3.10935Left Atrial Reduction Plasty and Sinus Rhythm Restoration in patients undergoing Mitral Valve Surgery with Chronic Atrial FibrillationNasir Ali0Atif Nawaz1Imtiaz Ahmed Chaudhry2Muhammad Imran Asghar3Syed Aqeel Hussain4Rehan Masroor5Muhammad Ahmad Khan6Department of Adult Cardiac Surgery, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi, PakistanDepartment of Adult Cardiac Surgery, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi, PakistanDepartment of Adult Cardiac Surgery, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi, PakistanDepartment of Adult Cardiac Surgery, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi, PakistanDepartment of Adult Cardiac Anesthesia, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi, PakistanDepartment of Adult Cardiac Surgery, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi, PakistanDepartment of Adult Cardiac Surgery, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan Objective: To assess outcome of Left Atrial reduction plasty and sinus rhythm restoration in patients undergoing Mitral valve surgery with chronic Atrial Fibrillation. Study Design: Longitudinal study. Place and Duration of Study: Adult Cardiac Surgery Unit, Armed Forces Institute of Cardiology/National Institute of Heart Diseases, Rawalpindi Pakistan, from Jan 2017-Jun 2022. Methodology: Thirty three (n=33) patients with mitral valve disease were recruited via convenience sampling, all of whom exhibited an enlarged left atrium and pre-operative Atrial Fibrillation (AF). Pre-operative cardiac evaluations were performed using Transthoracic Echocardiography (TTE). Pre- and post-surgery trans-esophageal echocardiography studies were conducted as a routine procedure. Follow-up echocardiographic assessments were carried out at intervals of 1 month, 3 months, and 6 months, alongside Electrocardiograms (ECGs). During surgery, median sternotomy was done. Cardiopulmonary Bypass (CPB) time was established followed by cardiac arrest. After Mitral valve Repair/Replacement (MVR), Left Atrial (LA) plication was done by a double needle. Results: Out of thirty three (n=33) patients, 25(75.7%) females and 8(24.2%) male patients, with mean age of 44.3±15.5 years, underwent mitral valve surgery(repair/replacement) followed by LA reduction & sinus rhythm restoration procedure. Complete restoration of sinus rhythm with re-appearance of “a” wave on echocardiography, signifying LA transport function through mitral valve was observed in 31(93.9%) patients on 3rd month and only 1(3.0%) individual continued to have persistent AF after 6 months. (83.70±2.50 mm vs. 47.50±1.08 mm) (p<0.001).................. Conclusion: Left atrial reduction by “Plication technique” followed by “Diathermy Fulguration” as a part of mitral valve surgery has yielded ............... https://www.pafmj.org/PAFMJ/article/view/10935Chronic Atrial FibrillationLeft Atrial ReductionMitral Valve SurgerySinus Rhythm |
| spellingShingle | Nasir Ali Atif Nawaz Imtiaz Ahmed Chaudhry Muhammad Imran Asghar Syed Aqeel Hussain Rehan Masroor Muhammad Ahmad Khan Left Atrial Reduction Plasty and Sinus Rhythm Restoration in patients undergoing Mitral Valve Surgery with Chronic Atrial Fibrillation Pakistan Armed Forces Medical Journal Chronic Atrial Fibrillation Left Atrial Reduction Mitral Valve Surgery Sinus Rhythm |
| title | Left Atrial Reduction Plasty and Sinus Rhythm Restoration in patients undergoing Mitral Valve Surgery with Chronic Atrial Fibrillation |
| title_full | Left Atrial Reduction Plasty and Sinus Rhythm Restoration in patients undergoing Mitral Valve Surgery with Chronic Atrial Fibrillation |
| title_fullStr | Left Atrial Reduction Plasty and Sinus Rhythm Restoration in patients undergoing Mitral Valve Surgery with Chronic Atrial Fibrillation |
| title_full_unstemmed | Left Atrial Reduction Plasty and Sinus Rhythm Restoration in patients undergoing Mitral Valve Surgery with Chronic Atrial Fibrillation |
| title_short | Left Atrial Reduction Plasty and Sinus Rhythm Restoration in patients undergoing Mitral Valve Surgery with Chronic Atrial Fibrillation |
| title_sort | left atrial reduction plasty and sinus rhythm restoration in patients undergoing mitral valve surgery with chronic atrial fibrillation |
| topic | Chronic Atrial Fibrillation Left Atrial Reduction Mitral Valve Surgery Sinus Rhythm |
| url | https://www.pafmj.org/PAFMJ/article/view/10935 |
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