Influence of Preoperative Atrial Fibrillation on Late Results of Mitral Repair: Is Concomitant Ablation Justified? Dumbor L. Ngaage, MB, FRCS(C-Th),

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Presentation transcript:

Influence of Preoperative Atrial Fibrillation on Late Results of Mitral Repair: Is Concomitant Ablation Justified? Dumbor L. Ngaage, MB, FRCS(C-Th), Hartzell V. Schaff, MD, Charles J. Mullany, MB, MS, Sunni Barnes, PhD, Joseph A. Dearani, MD, Richard C. Daly, MD, Thomas A. Orszulak, MD, Thoralf M. Sundt, MD The Annals of Thoracic Surgery Volume 84, Issue 2, Pages 434-443 (August 2007) DOI: 10.1016/j.athoracsur.2007.04.036 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Flow chart of the study patient selection process. The exclusion criteria were history of cardiac arrhythmia other than atrial fibrillation (AF), previous permanent pacemaker and (or) automatic implantable cardioverter defibrillator implantation, permanent neurological deficit from stroke, and residence outside the United States. (SR = sinus rhythm). The Annals of Thoracic Surgery 2007 84, 434-443DOI: (10.1016/j.athoracsur.2007.04.036) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Kaplan-Meier survival curves of patients with preoperative atrial fibrillation (AFib) and those with preoperative sinus rhythm (SR) after repair of mitral regurgitation. The Annals of Thoracic Surgery 2007 84, 434-443DOI: (10.1016/j.athoracsur.2007.04.036) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Survival regression model showing predictors of all-cause late mortality by multivariate analysis. (AF = atrial fibrillation; CHF = congestive heart failure.) The Annals of Thoracic Surgery 2007 84, 434-443DOI: (10.1016/j.athoracsur.2007.04.036) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Kaplan-Meier curves showing intervention for heart rhythm-related complications in patients with preoperative atrial fibrillation (Preop AFib) and those in sinus rhythm (Preop SR) after repair of mitral regurgitation. The Annals of Thoracic Surgery 2007 84, 434-443DOI: (10.1016/j.athoracsur.2007.04.036) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Long-term survival after repair of mitral regurgitation in patients with preoperative permanent and paroxysmal atrial fibrillation (AF). The Annals of Thoracic Surgery 2007 84, 434-443DOI: (10.1016/j.athoracsur.2007.04.036) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions