[HSF] Indications for maze with mitral surgery

[Prasanna Simha M]

The percentage of recurrence is around 60 % for paroxysmal Afib in the
long run.I think there was an article to that effect but I cannot
recollect it off hand.
Prasanna

On Sat, Mar 1, 2008 at 4:07 AM, Donald Ross <donross at bigpond.com> wrote:
> I guess the unknown is the incidence of AF after MV surgery in the
>  group who only have a history of one or two episodes of AF prior to
>  surgery rather than frequent episodes needing treatment where the
>  indications for maze are undisputed.
>  Don
>
>
> On 01/03/2008, at 8:17 AM, hgrmd at aol.com wrote:
>
>  > Actually, Don, I just heard a lecture at Chitwood's program in
>  > which the cost effectiveness and superior quality and quantity of
>  > life with Cox-maze was presented.  Just thinking logically, how
>  > could the opposite be true, as long as an experienced surgeon was
>  > doing it?
>  >
>  > Hal
>  > Sent from my Verizon Wireless BlackBerry
>  >
>  > -----Original Message-----
>  > From: Donald Ross <donross at bigpond.com>
>  >
>  > Date: Sat, 1 Mar 2008 07:52:11
>  > To:OpenHeart-L at lists.hsforum.com
>  > Subject: Re: [HSF] Indications for maze with mitral surgery
>  >
>  >
>  > This question followed a heated discussion at one of our clinical
>  > meeting with one member doing a cryo maze if there was any history of
>  > AF while the other maintained, correctly I suspect, that there was no
>  > data supporting that strategy.
>  > Don
>  > On 29/02/2008, at 10:43 PM, hgrmd at aol.com wrote:
>  >
>  >>
>  >> Don,
>  >>
>  >> ? Absolutely.? In my opinion, patients going to the OR for an open
>  >> heart surgery should nearly always have their AF treated as well.?
>  >> My current policy is to use Atricure PVI for patients with PAF and
>  >> a procedure otherwise not requiring a left atriotomy.? If the
>  >> patient is in continuous AF, or if he requires an atriotomy anyway,
>  >> I do a full Cox-cryomaze with the ATS Cryocath.? The LA appendage
>  >> is oversewn from the inside.? I've abandoned stapling the LAA.
>  >>
>  >> Hal
>  >>
>  >>
>  >> -----Original Message-----
>  >> From: Donald Ross <donross at bigpond.com>
>  >> To: OpenHeart-L at lists.hsforum.com
>  >> Sent: Thu, 28 Feb 2008 11:04 pm
>  >> Subject: Re: [HSF] Indications for maze with mitral surgery
>  >>
>  >>
>  >>
>  >> Dear Colleagues,?
>  >> Does a history of paroxysmal AF constitute an indication for
>  >> concomitant maze in mitral surgery??
>  >> Don?
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-- 
Prasanna Simha M