Hemodynamic Assessment of Dyspnea in Post-Left Atrial Radiofrequency Ablation and Maze Procedure

Published on Feb 27, 2017in Jacc-cardiovascular Interventions8.432
· DOI :10.1016/J.JCIN.2016.11.058
Abdallah El Sabbagh13
Estimated H-index: 13
(Mayo Clinic),
Yogesh N.V. Reddy26
Estimated H-index: 26
(Mayo Clinic)
+ 1 AuthorsRick A. Nishimura128
Estimated H-index: 128
(Mayo Clinic)
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Abstract
The surgical Maze procedure and radiofrequency ablation to treat atrial fibrillation are associated with complications that may subsequently lead to dyspnea including left atrial noncompliance, interatrial conduction delays, and pulmonary vein stenosis [(1,2)][1]. A 73-year-old woman presented with
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#1Isha Verma (Monmouth Medical Center)H-Index: 4
Last. Abhinav Agrawal (Hofstra University)H-Index: 12
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Atrial fibrillation is the most common heart rhythm disorder in United States, characterised by rapid and irregular beating of both the atria resulting in the similar ventricular response. While rate and rhythm control using pharmacological regimens remain the primary management strategies in these patients, radiofrequency catheter ablation (RFCA) is rapidly rising as an alternative modality of treatment. Increase in the incidence of RFCA has shed light on complications associated with this proc...
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#1Terrence D. Welch (Dartmouth–Hitchcock Medical Center)H-Index: 5
#2Megan CoylewrightH-Index: 11
Last. Rick A. NishimuraH-Index: 128
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Background The surgical maze procedure is highly effective in treating symptomatic atrial fibrillation but may have detrimental effects on left atrial (LA) contractile function and compliance. Objective To describe a series of patients presenting with symptomatic pulmonary hypertension due in part to LA dysfunction after surgical maze procedures. Methods This report includes 9 patients who (1) presented to Mayo Clinic (Rochester, MN) between 2008 and 2012 with unexplained dyspnea and pulmonary h...
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#1William R. Miranda (Mayo Clinic)H-Index: 14
#2C. Charles Jain (Mayo Clinic)H-Index: 4
Last. Donald J. Hagler (Mayo Clinic)H-Index: 88
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Objective To assess the prevalence of elevated systemic right ventricular (sRV) end-diastolic pressure and pulmonary arterial hypertension in adults with transposition of the great arteries (TGA) who have undergone atrial switch operation. Methods Forty-two adults (aged ≥18 years) with complete TGA and atrial switch palliation undergoing cardiac catheterisation between 2004 and 2018 at Mayo Clinic, MN, were identified. Clinical, echocardiographic and invasive haemodynamic data were abstracted fr...
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