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Fate of preoperative atrial fibrillation after correction of atrial septal defect.

 Jin Wi  ;  Jae-Young Choi  ;  Jae-Min Shim  ;  Jae-Sun Uhm  ;  Hye-Jin Hwang  ;  Jong-Youn Kim  ;  Hui-Nam Pak  ;  Boyoung Joung  ;  Moonhyoung Lee 
 CIRCULATION JOURNAL, Vol.77(1) : 109-115, 2013 
Journal Title
Issue Date
Adolescent ; Adult ; Aged ; Atrial Fibrillation/complications ; Atrial Fibrillation/physiopathology* ; Atrial Fibrillation/surgery* ; Electrocardiography* ; Female ; Heart Septal Defects, Atrial/complications ; Heart Septal Defects, Atrial/physiopathology* ; Heart Septal Defects, Atrial/surgery* ; Humans ; Male ; Middle Aged ; Preoperative Period* ; Retrospective Studies
Atrial fibrillation ; Atrial septal defect ; Hemodynamic correction ; Maze procedure
BACKGROUND: Atrial fibrillation (AF) is common among adult patients with an atrial septal defect (ASD). Catheter ablation or the Maze procedure can be considered for AF before or concurrently with ASD closure. However, the fate of preoperative AF is not well established. This study examined the postoperative course of patients with AF before undergoing ASD correction. METHODS AND RESULTS: The 471 patients (131 men, 42 ± 14 years) underwent transcatheter closure (n=237, 50%) or surgical repair (n=234, 50%) of an ASD. ECG and Holter monitoring were used to document preoperative and postoperative AF. Forty patients had AF before transcatheter closure (n=10) or surgical repair (n=30) of the ASD. During the follow-up period of 44 ± 28 months, excluding 15 patients who had undergone surgical repair with the Maze procedure, sinus rhythm (SR) was maintained in 7 (88%) of 8 patients with paroxysmal AF. However, only 3 (18%) of 17 patients with persistent AF maintained SR. Among the 15 patients treated with the Maze procedure, 12 (80%) maintained SR. CONCLUSIONS: Hemodynamic correction of ASD was effective in conversion to SR in most patients with preoperative paroxysmal AF. However, the Maze procedure or transcatheter ablation before ASD correction needs to be considered for the treatment of AF in patients with persistent AF.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jong Youn(김종윤) ORCID logo https://orcid.org/0000-0001-7040-8771
Pak, Hui Nam(박희남) ORCID logo https://orcid.org/0000-0002-3256-3620
Shim, Jae Min(심재민)
Uhm, Jae Sun(엄재선) ORCID logo https://orcid.org/0000-0002-1611-8172
Wi, Jin(위진) ORCID logo https://orcid.org/0000-0003-0655-5130
Lee, Moon Hyoung(이문형) ORCID logo https://orcid.org/0000-0002-7268-0741
Joung, Bo Young(정보영) ORCID logo https://orcid.org/0000-0001-9036-7225
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0002-1247-6669
Hwang, Hye Jin(황혜진)
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