Surgical management of atrial fibrillation at the time of septal myectomy

Eduard Quintana, James L. Cox

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Atrial fibrillation (AF) may appear during the natural clinical course of hypertrophic cardiomyopathy (HCM). It is regarded as a complication of HCM and is a marker of advanced disease. AF is more likely to occur in untreated, obstructive HCM. Unfortunately, this represents a turning point that puts patients at increased risk of further disability, stroke and death. The presence of obstruction is an indication to proceed with septal myectomy to improve or resolve symptoms by ameliorating diastolic dysfunction. If the patient has concomitant AF, a Maze procedure should be added to the septal myectomy. This combined operation yields excellent hemodynamic benefits and potentially decreases the risk of thromboembolic events.

Original languageEnglish
Pages (from-to)386-393
Number of pages8
JournalAnnals of Cardiothoracic Surgery
Volume6
Issue number4
DOIs
StatePublished - Jul 1 2017
Externally publishedYes

Keywords

  • Atrial fibrillation (AF)
  • Hypertrophic cardiomyopathy (HCM)
  • Maze
  • Septal myectomy
  • Surgical ablation

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