심방세동치료에 적용된 심외막극초단파차단술 -1예 보고- = Epicardial Microwave Ablation of Atrial Fibrillation

다국어 초록 (Multilingual Abstract)

Even though the Cox-Maze III procedure is the gold standard in the therapy for atrial fibrillation (AF) and its outcome is excellent, the complexity of the operation, longer cardiopulmonary bypass time and the risk of bleeding have tended to dissuade cardiac surgeons from its application. The recent data of the pathogenesis of AF and the development of alternative energy sources have facilitated the development of the modified Cox-Maze procedure rapidly. We reported that atrial fibrillation was conversed to sinus rhythm by the epicardial microwave ablation without cardiopulmonary bypass and the normal sinus rhythm was observed during 33 months of follow-up period.

국문 초록 (Abstract)

Cox-Maze III 술식이 심방세동의 전형적인 수술요법이지만 탁월한 수술성적임에도 불구하고 수술의 복잡성, 장시간의 체외순환, 술 후 출혈의 위험부담으로 보편적이지는 못하다. 최근 들어서 심방세동의 병리기전에 대한 이해와 절개 및 봉합의 대안으로 여러 가지 에너지원의 개발로 인하여 Cox-Maze의 변형술식이 급격하게 발전되고 있다. 본원에서는 심폐기를 사용하지 않고 극초단파(microwave)를 이용하여 심방세동을 교정한 후 33개월 현재 양호한 상태로 동율동을 보이고 있어 문헌 보고하는 바이다.

참고문헌 (Reference)

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2 "Right and left atrial radiofrequency catheter therapy of paroxysmal atrial fibrillation" 7 : 1132-44, 1996

3 "Radiofrequency ablation of atrial fibrillation during mitral valve surgery" 14 : 210-8, 2002

4 "Intraoperative radiofrequency maze ablation for atrial fibrillation: the Berlin modification" 72 : 1484-91, 2001

5 "Esophageal injury during radiofrequency ablation for atrial fibrillation" 122 : 1239-40, 2001

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7 "Current status of the Maze procedure for the treatment of atrial fibrillation" 12 : 15-9, 2000

8 "Comparison of epicardial and endocardial linear ablation using handheld probes" 75 : 543-3, 2003