title: [Atrial fibrillation concomitant with valvular heart disease].
abstract: Patients with valvular heart disease frequently have atrial fibrillation(AF) due to elevated pressure and dilatation of the left and right atria and pulmonary veins. Guidelines for valvular heart disease and AF recommend that surgical treatment for the valvular heart disease should be performed concomitantly with AF surgery. The Full-Maze procedure has evolved into the gold standard of treatment for medically refractory AF. In addition to the pulmonary vein isolation, the right and left atrial incisions of the Full-Maze procedure are designed to block potential macroreentrant pathways. According to the mechanisms of AF with valvular heart disease, the Full-Maze procedure is more effective for the patients than the pulmonary vein isolation alone.
authors: Cardiothoracic Surgery, Nippon Medical School Chiba Hokusoh Hospital.
authors: Yosuke
authors: Y
authors: Ishii
mesh_terms: D001281:Atrial Fibrillation / Q000209:etiology / Q000601:surgery*; D017115:Catheter Ablation / Q000379:methods; D006349:Heart Valve Diseases / Q000150:complications / Q000601:surgery*; D006801:Humans; D017410:Practice Guidelines as Topic; D011667:Pulmonary Veins / Q000601:surgery*; D016896:Treatment Outcome