[Left atrial isolation for chronic atrial fibrillation associated with aortic arch dissection and aortic valve disease in a 70-year-old man].
A 70-year-old male with aortic regurgitation, chronic atrial fibrillation (Af) and chronic aortic dissection of the aortic arch was treated simultaneously. We found a limited dissection in front of aortic arch during operation. We performed total arch replacement using a branched prosthesis and aortic valve replacement in addition to a modified left atrial isolation for chronic Af under the aid of extracorporeal circulation, and selective cerebral perfusion. Left atrial isolation is a simpler procedure than maze procedure and left side maze procedure for eliminating Af. This simple procedure makes possible a simultaneous extended operation for complicated aortic and cardiac disease even in an elderly patient.
Hirai
S
S
First Department of Surgery, Hiroshima University School of Medicine, Japan.
Sueda
T
T
Morita
S
S
Orihashi
K
K
Shikata
H
H
Matsuura
Y
Y
D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001281:Atrial Fibrillation / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006348:Cardiac Surgical Procedures / Q000379:methods; D002908:Chronic Disease; D005112:Extracorporeal Circulation; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male