Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12 Pt 2
pubmed:dateCreated
1991-3-19
pubmed:abstractText
Atrial flutter is associated with a macro-reentrant loop including an area of slow conduction cryoablation of which prevents atrial flutter to occur. Three patients underwent such intervention. Atrial fibrillation is associated with multiple reentrant circuits (leading circle of Allessie) that requires a critical surface area to perpetuate. We have designed an operation, the corridor operation, which isolate the sinus node and the AV node within a small segment of atrial tissue, to restore the chronotropic function of the sinus node. Nine patients underwent the corridor operation at our institution. There were eight men and one woman. Five had incessant atrial fibrillation and four paroxysmal. One patient had associated mitral valve stenosis and one cardiomyopathy. There were no perioperative complications. Six patients had normal sinus node function postoperatively including all the four patients with documented normal sinus node function preoperatively. Three patients required implantation of an AAI pacemaker. Two patients had recurrence of atrial fibrillation within the corridor. Our experience suggests that the corridor operation should be restricted to patients with documented good sinus node function and without structural heart disease. Our experience with five patients with paroxysmal sinus node tachycardia has been disappointing. Only one patient had long-term success although better series have been published.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0147-8389
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1996-9
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1990
pubmed:articleTitle
Surgery for atrial tachycardia.
pubmed:affiliation
Department of Surgery, University of Western Ontario University Hospital, London, Canada.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't