[Maze procedure for atrial fibrillation associated with aortic valve disease in an elderly patient: report of a case].
The choice of a valve substitute in elderly patients remains controversial. Moreover, the combined use of the maze procedure in elderly patients raises further discussion. We report a case of bioprosthetic aortic valve replacement concomitant with the maze procedure in a 74-year-old man. With symptom of orthopnea and short of breath, he was diagnosed as aortic stenosis and regurgitation with atrial fibrillation. We performed the bioprosthesis aortic valve replacement and the maze procedure in this patient. He was extubated next day and discharged on the fifteenth day after the operation without any complications. Postoperatively he gained a sinus regular rhythm and A wave of transmitral flow was detected by Doppler echocardiography. Now, he enjoys his better quality of life without any drugs including warfarin. Although combined aortic valve replacement and maze procedure are more invasive for elderly patients, these procedures provides better quality of life after the operation.
Ishida
T
T
Department of Cardiovascular Surgery and Cardiology, Kanto Medical Center, NTT EC, Tokyo, Japan.
Nakano
K
K
Gomi
A
A
Nakatani
H
H
Sato
T
T
Saegusa
N
N
Ohnishi
S
S
Itai
T
T
Namiki
S
S
D000368:Aged; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D001281:Atrial Fibrillation / Q000150:complications*; D001705:Bioprosthesis; D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male