Key result
The extended trans-septal surgical approach was an independent predictor of ectopic atrial or junctional rhythm following mitral valve surgery compared to the left atrial approach.
Why the study?
Does the extended trans-septal approach compared to the left atrial approach affect the incidence of postoperative arrhythmias in patients undergoing mitral valve surgery?
Cohort (n=72)
Does the extended trans-septal approach compared to the left atrial approach affect the incidence of postoperative arrhythmias in patients undergoing mitral valve surgery?
The choice of surgical approach (extended trans-septal vs. left atrial) during mitral valve surgery independently influences the risk of postoperative ectopic atrial or junctional rhythm.
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May favor left atrial approach to limit postoperative arrhythmias; leaves open randomized confirmation of optimal access.
L. Tambeur (1996) conducted a cohort in Acquired mitral valve disease requiring surgery (n=72). Extended trans-septal approach vs. Left atrial approach was evaluated on Postoperative arrhythmias (any supraventricular arrhythmia, atrial fibrillation or flutter, and ectopic atrial or junctional rhythm). The extended trans-septal surgical approach was an independent predictor of ectopic atrial or junctional rhythm following mitral valve surgery compared to the left atrial approach.
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