Current Strategies in the Surgical Treatment of Atrial Fibrillation: Review of the Literature and Onze Lieve Vrouw Clinic’s Strategy Ihsan Bakir, MD,

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Presentation transcript:

Current Strategies in the Surgical Treatment of Atrial Fibrillation: Review of the Literature and Onze Lieve Vrouw Clinic’s Strategy Ihsan Bakir, MD, Filip P. Casselman, MD, PhD, Pedro Brugada, MD, PhD, Peter Geelen, MD, PhD, Francis Wellens, MD, Ivan Degrieck, MD, Frank Van Praet, MD, Yvette Vermeulen, MS, Raphael De Geest, MD, Hugo Vanermen, MD, FETCS The Annals of Thoracic Surgery Volume 83, Issue 1, Pages 331-340 (January 2007) DOI: 10.1016/j.athoracsur.2006.07.038 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Classification of atrial fibrillation (AF1). Either paroxysmal or persistent AF may be recurrent AF (AF2). Paroxysmal AF lasts 7 or fewer days and terminates spontaneously (AF3). Persistent AF includes cases of long-standing AF (eg, greater than 1 year), usually leading to permanent AF (AF4). Persistent AF does not terminate spontaneously, but requires electrical or pharmacological cardioversion to restore normal sinus rhythm; if the first-detected episode of AF does not terminate spontaneously, it is also designated persistent. The Annals of Thoracic Surgery 2007 83, 331-340DOI: (10.1016/j.athoracsur.2006.07.038) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Lesion set generated in our center. Pulmonary veins are isolated by a line of ablation around the ostiums and connected to the atriotomy incision line. Another line is created towards the mitral P3 region. (LAA = left atrial appendage). The Annals of Thoracic Surgery 2007 83, 331-340DOI: (10.1016/j.athoracsur.2006.07.038) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions