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European Journal of Cardio-Thoracic Surgery, Vol 12, 739-744, Copyright © 1997 by European Association for Cardio-thoracic Surgery
JQ Melo, J Neves, P Adragao, R Ribeiras, MM Ferreira, L Bruges, M Canada and T Ramos
OBJECTIVE: Several medical, interventional and surgical techniques are used
to treat atrial fibrillation, aimed at different goals and having variable
success rates. To be able to assess and compare all these techniques a
methodology of study and a classification is proposed. METHODS: We
developed a five grade score, named the Santa Crus Score, based upon the
post-operative atrial rhythm and the effective atrial contraction. Score 0
corresponds to a persistence of atrial fibrillation, the presence of a
regular rhythm is grade 1, 2 or 3 if there is no atrial contraction; right
atrial contraction; or bilateral atrial contraction, respectively. Score 4
corresponds to sinus rhythm and bilateral atrial contraction. Surgery for
atrial fibrillation was performed on 51 patients since 1992. All patients
but two had associated mitrial surgery. Three different maze techniques
were performed on 17 patients and the pulmonary veins isolation procedure
on 34 patients. Patients were reassessed at 1, 6, 12, 24 and 36 months.
RESULTS: After the maze I procedure atrial fibrillation eradication was
achieved in 88% of patients but none scored 4. Three patients changed score
during the first year. All maze III patients scored 0 initially and one
changed to score 3 in the first year. Sixty percent of the maze IIIA
patients scored 4, but one evolved to score 0 at 6 months. The pulmonary
veins isolation technique eliminated atrial fibrillation in 71% of the
patients initially, and in 60% after 1 year, and achieved a score of 4 in a
third of the patients. CONCLUSION: This classification considers the
intermediate grades of success that can occur with absence of atrial
fibrillation and is applicable to all forms of therapy.
ARTICLES
When and how to report results of surgery on atrial fibrillation
Department of Cardiothoracic Surgery, Hospital de Santa Cruz, Linda-A- Velha, Portugal.
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|
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|
|
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