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首页> 外文期刊>Progress in Cardiovascular Diseases >Surgical ablation of atrial fibrillation.
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Surgical ablation of atrial fibrillation.

机译：房颤的外科手术消融。

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Surgical ablation of atrial fibrillation (AF) is the most effective means of curing this arrhythmia, with the classic Maze procedure eliminating AF in more than 90% of patients. A complex but safe operation, the Maze procedure has been applied by relatively few surgeons. However, recent advances in the understanding of the pathogenesis of AF and development of new ablation technologies enable surgeons to perform pulmonary vein ablation, create linear left atrial lesions, and remove the left atrial appendage rapidly and safely. Lesions are created under direct vision, minimizing the risk of damage to the pulmonary veins and adjacent mediastinal structures. Most surgical ablation procedures have been performed in conjunction with mitral valve surgery, the combination of mitral valve repair and cure of AF enabling patients to avoid lifelong anticoagulation. Recently developed surgical instrumentation now enables thoracoscopic and keyhole approaches, facilitating extension of epicardial AF ablation and excision of the left atrial appendage to patients with isolated AF and no other indication for cardiac surgery.
机译：心房颤动（AF）的外科手术消融是治愈这种心律不齐的最有效方法，传统的Maze手术可在90％以上的患者中消除AF。迷宫手术是一种复杂但安全的手术，很少有外科医生使用。但是，在了解房颤的发病机理方面的最新进展和新消融技术的发展使外科医生能够快速安全地进行肺静脉消融，产生线性左心房病变并去除左心耳。病变是在直视下产生的，可最大程度地减少损坏肺静脉和相邻纵隔结构的风险。大多数外科手术消融手术均与二尖瓣手术，二尖瓣修复和房颤的治愈相结合，使患者避免了终生抗凝治疗。新近开发的外科手术器械现在使胸腔镜和锁孔入路成为可能，从而促进了心外膜房颤消融的扩展和对孤立房颤患者的左心耳的切除，并且没有其他心脏手术的适应症。

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