Risk Factors of Recurrence of Atrial Fibrillation (AF) After AF Surgery in Patients With AF and Mitral Valve Disease Yosuke Ishii, MD, PhD, Shun-ichiro.

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Ablation of Atrial Fibrillation With Minimally Invasive Mitral Surgery

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Risk Factors of Recurrence of Atrial Fibrillation (AF) After AF Surgery in Patients With AF and Mitral Valve Disease Yosuke Ishii, MD, PhD, Shun-ichiro Sakamoto, MD, PhD, Yasuo Miyagi, MD, PhD, Yasuhiro Kawase, MD, Toshiaki Otsuka, MD, PhD, Takashi Nitta, MD, PhD Seminars in Thoracic and Cardiovascular Surgery Volume 30, Issue 3, Pages 271-278 (September 2018) DOI: 10.1053/j.semtcvs.2018.01.004 Copyright © 2018 The Author(s) Terms and Conditions

Figure 1 Patient disposition. AF, atrial fibrillation; LAD, left atrial diameter; MV, mitral valve. Seminars in Thoracic and Cardiovascular Surgery 2018 30, 271-278DOI: (10.1053/j.semtcvs.2018.01.004) Copyright © 2018 The Author(s) Terms and Conditions

Figure 2 Lesion set of the full-maze procedure. (A, B) Left atrial lesions. (C, D) Right atrial lesions. (Color version of figure is available online.) Seminars in Thoracic and Cardiovascular Surgery 2018 30, 271-278DOI: (10.1053/j.semtcvs.2018.01.004) Copyright © 2018 The Author(s) Terms and Conditions

Figure 3 Lesion set of the radial (left panel) and maze (right panel) procedures. The red arrows indicate the atrial conduction from the sinus node toward both atria. The upper schema shows the roof of the atria. The middle schema shows the back of the atria. The lower schema shows the atrial septum. CS, coronary sinus; FO, fossa ovalis; IVC, inferior vena cava; LAA left atrial appendage; MV, mitral valve; RAA, right atrial appendage; SVC, superior vena cava; TV, tricuspid valve. (Color version of figure is available online.) Seminars in Thoracic and Cardiovascular Surgery 2018 30, 271-278DOI: (10.1053/j.semtcvs.2018.01.004) Copyright © 2018 The Author(s) Terms and Conditions

Figure 4 Survival rate of all patients after the AF surgery. AF, atrial fibrillation. (Color version of figure is available online.) Seminars in Thoracic and Cardiovascular Surgery 2018 30, 271-278DOI: (10.1053/j.semtcvs.2018.01.004) Copyright © 2018 The Author(s) Terms and Conditions

Figure 5 Postoperative freedom from AF after the AF surgery for PAF (n = 50) and LSPAF (n = 194). AF, atrial fibrillation; PAF, persistent atrial fibrillation; LSPAF, long-standing persistent atrial fibrillation. (Color version of figure is available online.) Seminars in Thoracic and Cardiovascular Surgery 2018 30, 271-278DOI: (10.1053/j.semtcvs.2018.01.004) Copyright © 2018 The Author(s) Terms and Conditions

Figure 6 Postoperative freedom from AF after the AF surgery for patients with a preoperative LAD = 40.5 ± 4.3 mm (Q1: 26.0-44.4 mm), 47.9 ± 2.0 mm (Q2: 45.0-51.0 mm), 54.2 ± 1.6 mm (Q3: 52.0-57.0 mm), and LAD = 64.2 ± 5.6 mm (Q4: 58.0-82.0 mm). The AF cure rates in group Q4 were significantly lower than those in the other groups (P < 0.001, respectively). AF, atrial fibrillation. LAD, left atrial diameter. (Color version of figure is available online.) Seminars in Thoracic and Cardiovascular Surgery 2018 30, 271-278DOI: (10.1053/j.semtcvs.2018.01.004) Copyright © 2018 The Author(s) Terms and Conditions

Lesion set of the full-maze procedure. (A), (B) Left atrium lesions Lesion set of the full-maze procedure. (A), (B) Left atrium lesions. (C), (D) Right atrium lesions. Seminars in Thoracic and Cardiovascular Surgery 2018 30, 271-278DOI: (10.1053/j.semtcvs.2018.01.004) Copyright © 2018 The Author(s) Terms and Conditions