Mid-term Results for the Maze Procedure in Patients with Non-mitral Valvular Atrial Fibrillation
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概要
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Background: The Maze procedure in patients without mitral valve disease remains controversial, because of the increased invasiveness and operation time required to create additional incisions in the atria. The ain of this study was to assess prognosis following the Maze procedure in patients without mitral valve disease.Methods and Results: One hundred and seven consecutive patients who underwent the Maze procedure between 2002 and 2008 was enrolled in this study. Patients were divided into two groups based on the presence or absence of mitral valve disease. Freedom from atrial fibrillation was compared by multivariate logistic regression analysis at discharge. The Kaplan-Meier method and Cox-proportional hazard analysis adjusted for other predictors were estimated to compare freedom from atrial fibrillation at follow-up. Follow-up was 98% complete and mean duration of follow-up was 457 days. Operation and aorta cross-clamp times were similar between groups. No differences were identified in freedom from atrial fibrillation at discharge (non-mitral valve surgery, 55% vs. mitral valve surgery, 66%) or follow-up (57% vs. 61%, respectively). In multivariate Cox proportional hazard modelling, the presence of mitral valve disease was not associated with a poor success rate of conversion.Conclusions: Results of the Maze procedure for atrial fibrillation without mitral valve disease were acceptable. The Maze procedure could be a beneficial option for these patients to avoid adverse events of atrial fibrillation.
- 2011-08-01
著者
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Yamamoto Taira
Department Of Cardiovascular Surgery Juntendo University School Of Medicine
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Yamamoto Taira
順天堂大学 医学部心臓血管外科学
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Tambara Keichi
Department Of Cardiovascular Surgery Juntendo University Tokyo
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Tambara Keiichi
Department Of Cardiovascular Surgery Graduate School Of Medicine Kyoto University
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Amano Atsushi
Department Of Cardiovascular Surgery Juntendo University School Of Medicine
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Kajimoto Kan
Department Of Cardiology Juntendo University School Of Medicine
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Kajimoto Kan
Department Of Cardiovascular Surgery Juntendo University
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Yamamoto Taira
Department Of Cardiovascular Center Toranomon Hospital
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Amano Atsushi
Department Of Cardiothoracic Surgery Juntendo University School Of Medicine
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Yamasaki Motoshige
Department Of Cardiovascular Surgery Kobari General Hospital
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Yoneda Yuki
Department Of Cardiovascular Surgery Juntendo University School Of Medicine
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IWAMURA Tai
Department of Cardiovascular Surgery, Juntendo University School of Medicine
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Iwamura Tai
Department Of Cardiovascular Surgery Juntendo University School Of Medicine
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Yamasaki Motoshige
Department Of Cardiovascular Surgery Juntendo University School Of Medicine
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Tambara Keiichi
Department Of Cardiovascular Surgery Juntendo University School Of Medicine
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Yamamoto Taira
Department of Cardiothoracic Surgery, Juntendo University, School of Medicine
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