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完全胸腔镜下二尖瓣手术同期行射频消融术的进展
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Abstract:
心房颤动是临床中最常见的心律失常之一。二尖瓣疾病合并房颤可增加死亡率及脑血管意外发生率。房颤的外科治疗从Cox-maze I型发展至IV型，是治疗房颤的标准术式。近年来，随着科技发展，胸腔镜下行二尖瓣手术以其独特的优势已经成为越来越多心脏外科医生的选择。胸腔镜下行二尖瓣手术同时行房颤射频消融术降低了病人的死亡率及脑血管意外发生率。现对完全胸腔镜下二尖瓣手术同期行射频消融术的研究进展情况作一综述。
Atrial fibrillation is one of the most common arrhythmias in clinic. Mitral valve disease with atrial fibrillation can increase the mortality and incidence of cerebrovascular accidents. Surgical treatment of AF has progressed from Cox-maze I to type IV, and remains the standard surgery for AF treatment. In recent years, with the development of science and technology, mitral valve surgery in thoracoscopic has been chosen by more and more cardiac surgeons with its unique advantages. Mitral valve surgery in thoracoscopic combined with radiofrequency ablation of atrial fibrillation reduces mortality and incidence of cerebrovascular accidents. This article reviews the research progress of complete mitral valve surgery in thoracoscopic with simultaneous radiofrequency ablation.
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