房间隔缺损手术同期心房颤动外科射频消融的远期疗效分析  

Long-term outcomes of surgical closure of atrial septal defects and concomitant surgical radiofrequency ablation for atrial fibrillation

作　　者：韩波[1] 王俊杰[1] 

机构地区：[1]内蒙古包钢医院胸心外科,内蒙古包头014010

出　　处：《中国胸心血管外科临床杂志》2017年第10期779-782,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的评价房间隔缺损(atrial septal defect,ASD)手术同期心房颤动(atrial fibrillation,AF)双房射频消融的远期疗效。方法回顾性分析2003年3月至2015年4月我科连续15例行ASD修补同期双房射频消融患者的临床资料,其中男7例、女8例,平均年龄16~62(47.1±10.8)岁。观察术后远期AF射频消融的成功率。结果 15例患者手术顺利,术后早期无死亡、卒中等严重不良事件发生。所有患者均完成随访,随访时间61(3~136)个月。术后1年、3年、5年、10年AF消融成功率分别为81.3%、75.0%、68.8%和61.1%。随访期间无死亡及卒中事件发生,1例患者安装永久性起搏器。结论 ASD修补手术同期AF双房射频消融术后远期疗效好,安全有效,ASD修补患者有必要同期行AF双房射频消融治疗。Objective To evaluate long-term outcomes of surgical closure of atrial septal defect （ASD） and combined surgical radiofrequency ablation for atrial fibrillation （AF）. Methods A total of consecutive 15 patients with ASD undergoing surgical closure of ASD and combined surgical radiofrequency ablation in our department between March 2003 and April 2015. There were 7 males and 8 females at an average age of 47,1±10.8 years ranging from 16 to 62 years. Retrospective analysis and follow-up were performed to evaluate long-term success rate freedom from AF after surgery. Results All patients recovered and discharged, and no patient suffered death or stroke. The duration of follow-up was from 3 to 136 months for all patients. Success rate freedom from AF at 1, 3, 5 and 10 years was 81.3%, 75.0%, 68.8% and 61.1%, respectively. During follow-up, there was no death or stroke. One patient required permanent pacemaker implantation. Conclusion Concomitant surgical closure of ASD and biatrial radiofrequency ablation is safe and effetive with better long-term outcomes. It is necessary to perform the two procedures together for ASD patients.

关 键 词：房间隔缺损 心房颤动 射频消融 远期疗效 

分 类 号：R654.2[医药卫生—外科学]