Effect of left atrial reduction on restoration and maintenance of sinus rhythm in patients undergoing mitral valve replacement: A pilot study

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dc.authorid0000-0002-8782-7603
dc.contributor.authorYalçınkaya, Adnan
dc.contributor.authorDiken, Adem İlkay
dc.contributor.authorAksoy, Eray
dc.contributor.authorLafçı, Gökhan
dc.contributor.authorÇiçek, Ömer Faruk
dc.contributor.authorKadiroğulları, Ersin
dc.contributor.authorUluşar, Ümit Deniz
dc.contributor.authorÇağlı, Kerim
dc.date.accessioned2019-05-10T09:39:40Z
dc.date.available2019-05-10T09:39:40Z
dc.date.issued2016
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractBackground This pilot study aimed to evaluate the effectiveness of posterior left atrial wall plication (T-plasty) in patients with persistent atrial fibrillation (AF) (> 7 days) undergoing mitral valve surgery. Materials and Methods A total of 60 patients who were scheduled for mitral valve replacement were randomly allocated into two groups: one would receive (Group 1; n = 32, mean age; 49.37 ± 9.00) and one would not receive (Group 2; n = 28; mean age 48.64 ± 8.6) left atrial size reduction using T-plasty technique. Patients with a clear indication for combined procedures other than tricuspid valve disease, aortic valve disease, and coronary artery stenosis were not included. Follow-up was performed at 6th, 12th, and 18th months after the operation. Results After the operation, 21 patients (65.6%) in Group 1 and 13 patients (46.4%) in Group 2 regained sinus rhythm (p = 0.13). Mortality did not occur. AF recurrence rates were not significantly different between the groups in three follow-ups. Restoration of sinus rhythm was significantly more common in Group 1 patients than in Group 2 patients during follow-up. Patients in Group 1 had lower left atrial volume indexes than those in Group 2 at the 6th and 12th months, whereas the difference at the 18th month was at the limit of significance. Conclusion We achieved satisfactory results using the T-plasty technique for left atrial size reduction in terms of mid-term restoration and preservation of normal sinus rhythm in patients undergoing mitral valve surgery. Further study may be justified to reveal the prognostic importance of the technique described herein. © Georg Thieme Verlag Stuttgart. New York.
dc.identifier.citationYalçınkaya, A., Diken, A. İ., Aksoy, E., Lafçı, G., Çiçek, O. F., Kadiroğulları, E., Uluşar, Ü. D., Çağlı, K. (2016). Effect of left atrial reduction on restoration and maintenance of sinus rhythm in patients undergoing mitral valve replacement: A pilot study. The Thoracic and Cardiovascular Surgeon, 64(5), 441-446.
dc.identifier.doi10.1055/s-0035-1558993
dc.identifier.endpage446en_US
dc.identifier.issn0171-6425
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage441en_US
dc.identifier.urihttps://doi.org/10.1055/s-0035-1558993
dc.identifier.urihttps://hdl.handle.net/11491/748
dc.identifier.volume64en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherGeorg Thieme Verlag
dc.relation.ispartofThoracic and Cardiovascular Surgeon
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAtrial Fibrillationen_US
dc.subjectLeft Atrial Enlargementen_US
dc.subjectMitral Valve Replacementen_US
dc.titleEffect of left atrial reduction on restoration and maintenance of sinus rhythm in patients undergoing mitral valve replacement: A pilot study
dc.typeArticle

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