மருத்துவ மற்றும் பரிசோதனை இருதயவியல்
திறந்த அணுகல்

சுருக்கம்

Outcome after Cox-Maze Procedure during Minimal Invasive Surgery for Mitral and Tricuspid Valves

Ayman M Shaalan1,2*, Abdulkareem Alhuthaifi3, Saeedah H Alfaifi4 , Tamer H Ezeldin2

Background: Atrial Fibrillation (AF) is a common health problem associated with valvular heart disease. AF is abnormal atrial rhythm which is associated with unsynchronized atrial contraction that leads to loss of atrial kick and subsequently affects the stroke volume in around 25%. Resistant cases for control with medication required ablation percutaneous or simultaneously with valve surgery.

Aim: Is to assess the outcome after ablation with minimal invasive technique in association with mitral and tricuspid valve surgery.

Method: This is a retrospective study enrolled n=220 patients who underwent Cox Maze through minimal invasive approach in association with mitral and/or tricuspid valve surgery.

Result: this study included 220 cases according to the study design, mean age was 53.1 ± 9.1 years and most of the cases were 59.1% of male gender. n=63 patients under went mitral valve repair, n=157 patients needed mitral valve replacement 132 of them had tissue valve, and 179 had a concomitant tricuspid valve surgery.

Conclusion: Cox Maze procedure is effective with low recurrence rate of AF in cases done through minimal invasive mitral and tricuspid valve surgery.