New treatment guidelines presented for valve surgery скачать в хорошем качестве

New treatment guidelines presented for valve surgery

Our doctors have published clinical findings suggesting that when patients with valvular heart disease related to atrial fibrillation undergo valve replacement surgery, performing a procedure to treat their arrhythmia at the same time can reduce the incidence of stroke by 70% and lead to improved heart function. In a long-term study conducted from 1999 to 2010 by Drs. Jae-Won Lee and Joon Bum Kim, of the Dept. of Thoracic and Cardiovascular Surgery, the outcomes for 569 patients were compared and analyzed. 317 patients had operation for atrial fibrillation called the Maze procedure was performed along with valve replacement surgery, while the other 252 underwent valve replacement only. The clinical results confirmed the efficacy of performing both procedures simultaneously. Patients' stroke incidence and echocardiograms were analyzed and it showed that those who had simultaneously received both the Maze procedure and mechanical valve replacement had a rate of stroke 70% lower than those who received valve replacements alone. The Maze procedure is the most widely used surgical treatment for atrial fibrillation, but rather than risking this major open heart surgery, many patients opt to take antiarrhythmic agents and anticoagulants instead. However, as a result of this study, performing mechanical valve implantation in combination with the Maze procedure is expected to become more widespread. Dr. Joon Bum Kim / Dept. of Thoracic and Cardiovascular Surgery In the past, patients undergoing mechanical valve replacement put their faith in taking anticoagulants for the rest of their lives to prevent stroke. This study shows that, even for patients with arrhythmias who undergo valve replacement surgery, the incidence of stroke can be reduced by about 70% and their quality of life can be improved if they also receive surgery to correct their atrial fibrillation. This study was the first in the world to offer answers about the efficacy of simultaneous valve replacement and arrhythmia surgery, proving a new treatment guideline for valvular heart surgery, thus was published in the major journal, the Circulation.