9. Catheter Ablation Of The Incisional Tachycardia And Atrial Fibrillation In Patients With Prosthetic Mitral Valve. What Are The Difficulties?

Authors

  • K.А. Bizhanov National Scientific Center of Surgery named after A.N. Syzganov, Almaty, Kazakhstan
  • A.К. Baimbetov National Scientific Center of Surgery named after A.N. Syzganov, Almaty, Kazakhstan
  • K.А. Yergeshov National Scientific Center of Surgery named after A.N. Syzganov, Almaty, Kazakhstan
  • B.A. Bairamov National Scientific Center of Surgery named after A.N. Syzganov, Almaty, Kazakhstan
  • I.А. Yakupova National Scientific Center of Surgery named after A.N. Syzganov, Almaty, Kazakhstan
  • M.K. Seytbek National Scientific Center of Surgery named after A.N. Syzganov, Almaty, Kazakhstan
  • I.Y. Sagatov National Scientific Center of Surgery named after A.N. Syzganov, Almaty, Kazakhstan

Downloads

Abstract

Mitral valve disease, including dysfunction of the mitral valve, is often accompanied by atrial fibrillation. Among the patients with prosthetic mitral valves, atrial fibrillation occurs in 30-50% cases. Development of atrial arrhythmias and incisional tachycardia in the early and late postoperative periods can significantly influence patients rehabilitation and prognosis. Our clinical case describes a patient with a mechanical mitral valve and incisional tachycardia, which led to progression of heart failure and reduced left ventricular systolic function. The patient underwent a catheter ablation with non-invasive myocardium mapping. The case reveals the potentials of treatment of incisional tachycardia and atrial fibrillation, which do not respond to drug therapy. Modern methods of visualization enable the cardiac surgeons to reduce possible intraop-erative risks and development of complications in this group of patients.

Keywords

chronic rheumat-ic heart disease, case report, atrial fibrillation, incisional tachycardia, atrial flutter, mitral valve replace-ment

References

  1. Ivleva O.V., Avdeeva M.V. Influence of mitral valve replacement on functional heart restoration in patients with sinus rhythm and atrial fibrillation. Creative Cardiology = KreativnayaKardiologiya. 2018;12(1):40-9 (in Russ.)
  2. Tukusheva E.N., Abdramanov K.A., Urmanbetov K.S.Impact of atrial fibrillation on the evaluation of quality of life following surgical repair of rheumatic mitral valve insufficiency. Novaya nauka: opyt, tra-ditsii, innovatsii. 2016;(10-2):36-43 (in Russ.)
  3. Marrouche N.F., Brachmann J., Andresen D., Siebels J., Boersma L., Jordaens L., Merkely B., Pokushalov E., Sanders P., Proff J., Schunkert H., Christ H., Vogt J., Bansch D.; CASTLE-AF Investi-gators. Catheter ablation for atrial fibrillation with heart failure. N Engl J Med. 2018;378(5):417-427. PMID: 29385358. https://doi.org/10.1056/NEJ-Moa1707855
  4. Abdulianov I.V., Vagizov I.I., Mukharyamov M.N.Efficiency of atrium fibrillation treatment us-ing the method of radiofrequency ablation in the case of patients with surgical treatment of mitral valve.Medicinskijal’manah.2015;(3):54-56. (In Russ.)
  5. Wang X., Liu X., Shi H., Gu J., Sun Y., Zhou, L., Hu W. Heart rhythm disorders and pacemakers: Pulmonary vein isolation combined with substrate modification for persistent atrial fibrillation treat-ment in patients with valvular heart diseases. Heart. 2009;95(21):1773-83. PMID: 19482843. https://doi. org/10.1136/hrt.2007.124594
  6. Lang C.C., Santinelli V., Augello G., Ferro A., Gug-liotta F., Gulletta S., Vicedomini G., Mesas C., Pa-glino G., Sala S., Sora N., Mazzone P., Manguso F., Pappone C. Transcatheter radiofrequency abla-tion of atrial fibrillation in patients with mitral valve prostheses and enlarged atria: safety, feasibility, and efficacy. J Am CollCardiol. 2005;45(6):868-72. PMID: 15766822. https://doi.org/10.1016Zj. jacc.2004.11.057
  7. Ad N., Holmes S.D., Massimiano P.S., Rongione A.J., Fornaresio L.M. Long-term outcome fol-lowing concomitant mitral valve surgery and Cox maze procedure for atrial fibrillation. J Thorac Cardiovasc Surg. 2018;155(3):983-994. PMID:
  8. Ad N., Holmes S.D., Massimiano P.S., Pritchard G., Stone L.E., Henry L. The effect of the Cox-maze procedure for atrial fibrillation concomitant to mitral and tricuspid valve surgery. J Thorac Car-diovasc Surg. 2013;146(6):1426-34. https://doi. org/10.1016/j.jtcvs.2013.08.013
  9. Sapelnikov O.V., Cherkashin D.I., Shlevkov N.B., Nikolaeva O.A., Zhambeev A.A., Salami Kh.F., Partigulova A.S., Buldakova N.A., Grishin I.R., Ar-dus D.F., Stukalova O.V., Uskach T.M., Zhirov I.V., Tereshchenko S.N., Ternovoi S.N., Akchurin R.S. Comparative efficacy of pulmonary vein isolation vs rotor ablation in patients with persistent atrial fibrillation: mid-term results. Kardiologicheski-ivestnik. 2017;12(4):38-43. (In Russ.)
  10. Baimbetov A., Kuzhukeyev M., Bizhanov K., Yerge-shov K., Yakupova I., BozshagulovT., Ismailova G., //Аtrial fibrillation ablation using second-genera-tion cryoballoon. Сryoballoon ablation. «The new Аrmenian medical journal»Vol. 12 (2018), No 1, p. 64-71
  11. Baimbetov A., Bizhanov K., Yergeshov K., Yaku-pova I., Bozshagulov T. One year continuously monitoring follow up results after single procedure atrial fibrillation ablation using cryoballoon second generation. August 2018, «European Heart Jour-nal» 39 566.P5772

Published

2019-07-01

Issue

No. 2 (2019)

Section

Статьи