Atrial fibrillation (AF) is a problem with rising frequency and importance in developed countries. The consequences of that condition are a significant medical, social and economic problems: high risk of development of heart failure, ischemic stroke, decreased quality of life and lowered life expectancy. With the development of theoretical knowledge and technical means in medicine, new surgical methods
have been established and validated for the treatment of AF, among them is cryoablation. We present our early experience with the concomitant treatment of AF with cryoablation for patients undergoing surgical treatment of coronary artery disease (CAD), mitral and aortic valvular pathology. The system used for cryoalbation uses nitrous oxide (N2O). The results from patient follow-up show high
effectiveness of the procedure even in the initial phase of mastering the skill.
Кючуков Д. И., Хирургично лечение на предсърдни аритмии, София, МУ-София, Катедра по Сърдечно-съдова хирургия, УМБАЛ
„Св. Екатерина“ ЕАД; Дисертационен труд за присъждане на образователна и научна степен „Доктор”, 2016.
Ad, N., et al., Expert Consensus Guidelines: Examining Surgical Ablation for Atrial Fibrillation. Vol. 153. 2017.
Baumgartner, H., et al., 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J, 2017. 38(36): p. 2739-2791.
Calkins H., Kuck K. H., Cappato R., et al. 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural
techniques, patient management and follow-up, definitions, endpoints, and research trial design. Journal of Interventional Cardiac Electrophysiology. 2012;33(2):171–257. doi: 10.1007/s10840-012-9672-7.
Camm AJ, Kirchhof P, Lip GY, Schotten U et al. Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC). Eur Heart J. 2010;31:2369 –2429.).
Chen, M.C., Chang, J.P., Guo, G.B., Chang, H.W. Atrial size reduction as a predictor of the success of radiofrequency maze procedure for chronic atrial fibrillation in patients undergoing concomitant valvular surgery. J Cardiovasc Electrophysiol. 2001;12:867–874.
Cox JL: Atrial fibrillation I: A new classification system. J Thorac Cardiovasc Surg 2003; 126:1686;
Cox JL, Schuessler RB, Boineau JP. The development of the Maze procedure for the treatment of atrial fibrillation. Semin Thorac Cardiovasc Surg 2000;12:2–14.
Hunaid A. Vohra, Zaheer A. Tahir and Sunil K. Ohri (2012). Surgery for Atrial Fibrillation, Special Topics in Cardiac Surgery, Prof. Cuneyt Narin (Ed.), ISBN: 978-953-51-0148-2, InTech, Available from: http://www.intechopen.com/books/special-topicsin-cardiac-surgery/-surgery-for-atrial-fibrillation.
Isobe F, Kawashima Y. The outcome and indications of the Cox maze III procedure for chronic atrial fibrillation with mitral valve disease. J Thorac Cardiovasc Surg 1998;116:220–224.
Kirchhof P, Benussi S, Kotecha D, et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J. 2016;37:2893–2962.
Page, R.L., et al., 2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary: A Report of the American College of Cardiology/ American Heart Association Task Force on Clinical
Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol, 2016. 67(13): p. 1575-1623.
Robertson, J.O., et al., Illustrated techniques for performing the Cox-Maze IV procedure through a right mini-thoracotomy. Ann Cardiothorac Surg, 2014. 3(1): p. 105-16.
Wang W., Guo L., Martland A. et al. Biatrial reduction plasty with reef imbricate technique as an adjunct to maze procedure for permanent atrial fibrillation associated with giant left atria; Interactive CardioVascular and Thoracic Surgery 10 (2010) 577–58. doi:10.1510/icvts.2009.220012.
Петровски Пл., Предсърдно мъждене, издателство „Захарий Стоянов“, София 2017 г.
