2019
DOI: 10.1177/0218492319841512
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Cox maze IV versus left atrial reduction for atrial contraction restoration

Abstract: Background The Cox maze procedure is the gold-standard concomitant surgical procedure to restore sinus rhythm in rheumatic mitral valve disease with atrial fibrillation. Left atrial reduction surgery was found to be beneficial for rhythm conversion, but no study has investigated its efficacy compared to the Cox maze procedure for atrial contractility restoration. We aimed to compare the early success rate of left atrial contractility restoration with the Cox maze procedure and left atrial reduction in rheumati… Show more

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Cited by 4 publications
(2 citation statements)
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References 18 publications
(38 reference statements)
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“…The considerable outcome improvement after repair is associated with a narrowing of survival differences between high and low LACI, suggesting that suppression of volume overload may have favorable outcome implications with high preoperative LACI. Whether simultaneous LA volume reduction surgery may provide benefits, 43 and may affect postoperative impaired functional capacity, 24 remains an open question. In patients with no/mild DMR, in whom mitral repair is not considered, the unresolved question is whether medical treatment similar to that for LV dysfunction 44 may yield improved LA contractile function and possibly outcome.…”
Section: Discussionmentioning
confidence: 99%
“…The considerable outcome improvement after repair is associated with a narrowing of survival differences between high and low LACI, suggesting that suppression of volume overload may have favorable outcome implications with high preoperative LACI. Whether simultaneous LA volume reduction surgery may provide benefits, 43 and may affect postoperative impaired functional capacity, 24 remains an open question. In patients with no/mild DMR, in whom mitral repair is not considered, the unresolved question is whether medical treatment similar to that for LV dysfunction 44 may yield improved LA contractile function and possibly outcome.…”
Section: Discussionmentioning
confidence: 99%
“…Even in the absence of any pathology, LA reservoir function has been shown to be a potent marker of first atrial fibrillation/flutter in persons aged >65 years, particularly those with LA emptying fraction <49% (3). LA volume reduction surgery has also been shown to improve cavity mechanical function as well as electric instability (4), and reduced LA compliance has been reported to be a predictor of exercise capacity (5) and quality of life (6).…”
Section: Introductionmentioning
confidence: 99%