Cor Vasa 2019, 61(4):e411-e419 | DOI: 10.33678/cor.2019.034

(The effect of cardiac venting technique for aortic valve replacement surgery on the incidence of postoperative atrial fibrillation)

Tomáš Toporcera, Andrea Krausb, Tomáš Grendelc, Milan Bajmoczid, Adrián Kolesára, František Sabola
a Klinika srdcovej chirurgie, Lekárska fakulta Univerzity Pavla Jozefa Šafárika a Východoslovenský ústav srdcových a cievnych chorôb a.s., Košice, Slovensko
b Ústav matematiky a statistiky, Přírodovědecká fakulta, Masarykova univerzita, Brno, Česká republika
c Klinika anesteziológie a intenzívnej medicíny, Lekárska fakulta Univerzity Pavla Jozefa Šafárika a Východoslovenský ústav srdcových a cievnych chorôb a.s., Košice, Slovensko
d Harry & Sally Porter Heart & Vascular Centre, Fairbanks Memorial Hospital, 1650 Cowles St., Fairbanks, Alaska 99701, USA

Atrial arrhythmias are the most common complication after open heart surgery. Only a few studies have presented the incidence and risk factors of postoperative atrial fibrillation (POAF) after isolated aortic valve replacement surgery (AVR). Furthermore, the scarring resulting from the side of the vent implantation may create areas of slow conduction that allow a substrate for re-entry. The aim of the study is to compare the effect of the venting technique used during AVR - through the pulmonary artery (PA) or the pulmonary vein (PV) - on POAF incidence. Patients with no history of permanent atrial fibrillation (AF) and no pacemaker implanted (n = 497) who underwent isolated AVR were included in this retrospective study. Using a venting technique through the PV in comparison to a venting technique through the PA is associated with a significant prolongation of cardiopulmonary bypass time by 10.6 minutes (p

Keywords: Aortic valve surgery, Atrial fibrillation, Surgical technique

Published: August 11, 2019  Show citation

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Toporcer T, Kraus A, Grendel T, Bajmoczi M, Kolesár A, Sabol F. (The effect of cardiac venting technique for aortic valve replacement surgery on the incidence of postoperative atrial fibrillation). Cor Vasa. 2019;61(4):e411-419. doi: 10.33678/cor.2019.034.
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    References

    1. Mathieu P, Arsenault BJ, Boulanger MC, et al. Pathobiology of Lp(a) in calcific aortic valve disease. Expert Rev Cardiovasc Ther 2017;15:797-807. Go to original source... Go to PubMed...
    2. Jorgensen TH, Thyregod HG, Tarp JB, et al. Temporal changes of new-onset atrial fibrillation in patients randomized to surgical or transcatheter aortic valve replacement. Int J Cardiol 2017;234:16-21. Go to original source... Go to PubMed...
    3. Enriquez A, Santangeli P, Zado ES, et al. Postoperative atrial tachycardias after mitral valve surgery: Mechanisms and outcomes of catheter ablation. Heart Rhythm 2017;14:520-526. Go to original source... Go to PubMed...
    4. Hashemzadeh K, Dehdilani M, Dehdilani M. Postoperative Atrial Fibrillation following Open Cardiac Surgery: Predisposing Factors and Complications. J Cardiovasc Thorac Res 2013;5:101-107.
    5. Durukan AB, Gurbuz HA, Unal EU, et al. Role of neutrophil/lymphocyte ratio in assessing the risk of postoperative atrial fibrillation. J Cardiovasc Surg 2014;55:287-293.
    6. Toporcer T, Luczy J, Kolesar A, et al. The effect of surgical access for mitral valve surgery on incidence of atrial fibrillation and atrioventricular block. Cor Vasa 2017;59:e381-e388. Go to original source...
    7. Swinkels BM, de Mol BA, Kelder JC, et al. New-onset postoperative atrial fibrillation after aortic valve replacement: Effect on long-term survival. J Thorac Cardiovasc Surg 2017;154:492-498. Go to original source... Go to PubMed...
    8. Kohno H, Ueda H, Matsuura K, et al. Long-term consequences of atrial fibrillation after aortic valve replacement. Asian Cardiovasc Thorac Ann 2017;25:179-191. Go to original source... Go to PubMed...
    9. Carrascal Y, Arnold RJ, De la Fuente L, et al. Efficacy of atorvastatin in prevention of atrial fibrillation after heart valve surgery in the PROFACE trial (PROphylaxis of postoperative atrial Fibrillation After Cardiac surgEry). J Arrhythm 2016;32:191-197. Go to original source... Go to PubMed...
    10. Pillarisetti J, Patel A, Bommana S, et al. Atrial fibrillation following open heart surgery: long-term incidence and prognosis. J Interv Card Electrophysiol 2014;39:69-75. Go to original source... Go to PubMed...
    11. R Core Team (2015), A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. https://www.r-project.org/
    12. Mansour HAE, Abo El-Azm TH, Mostafa SA, et al. Echocardiographic predictors of atrial fibrillation after mitral valve replacement. Anatol J Cardiol 2017;17:334-336. Go to original source... Go to PubMed...
    13. Yokota J, Nishi H, Sekiya N, et al. Atrial fibrillation following aortic valve replacement: impact of perioperative use of intravenous beta-blocker. Gen Thorac Cardiovasc Surg 2017;6:194-199. Go to original source... Go to PubMed...
    14. Wakili R, Dobrev D. Role of triggers and substrate in heart failure based atrial fibrillation: Is pulmonary vein isolation still the cornerstone of atrial fibrillation therapy? Int J Cardiol 2017;243:276-278. Go to original source... Go to PubMed...
    15. Mosquera VX, Bouzas-Mosquera A, Gonzalez-Barbeito M, et al. Indexed left atrial size predicts all-cause and cardiovascular mortality in patients undergoing aortic valve surgery. J Thorac Cardiovasc Surg 2017;153:1275-1284. Go to original source... Go to PubMed...
    16. Kim HJ, Kim JB, Jung SH, et al. Surgical ablation of atrial fibrillation in patients with a giant left atrium undergoing mitral valve surgery. Heart 2016;102:1206-1214. Go to original source... Go to PubMed...
    17. Shin HY, Jeong IH, Kang CK, et al. Relation between left atrial enlargement and stroke subtypes in acute ischemic stroke patients. J Cerebrovasc Endovasc Neurosurg 2013;15:131-136. Go to original source... Go to PubMed...
    18. Saxena A, Virk SA, Bowman S, et al. Systematic review and meta-analysis on the impact of pre-operative atrial fibrillation on short- and long-term outcomes after aortic valve replacement. J Cardiovasc Surg 2017;58:943-950. Go to original source...
    19. Filardo G, Hamilton C, Hamman B, et al. New-onset postoperative atrial fibrillation and long-term survival after aortic valve replacement surgery. Ann Thorac Surg 2010;90:474-479. Go to original source... Go to PubMed...
    20. Magruder JT, Collica S, Belmustakov S, et al. Predictors of Late-Onset Atrial Fibrillation Following Isolated Mitral Valve Repairs in Patients With Preserved Ejection Fraction. J Card Surg 2016;31:486-492. Go to original source... Go to PubMed...
    21. Banach M, Goch A, Misztal M, et al. Predictors of paroxysmal atrial fibrillation in patients undergoing aortic valve replacement. J Thorac Cardiovasc Surg 2007;134:1569-1576. Go to original source... Go to PubMed...
    22. Tarantini G, Mojoli M, Windecker S, et al. Prevalence and Impact of Atrial Fibrillation in Patients With Severe Aortic Stenosis Undergoing Transcatheter Aortic Valve Replacement: An Analysis From the SOURCE XT Prospective Multicenter Registry. JACC Cardiovasc Interv 2016;9:937-946. Go to original source... Go to PubMed...
    23. Arakawa M, Miyata H, Uchida N, et al. Postoperative atrial fibrillation after thoracic aortic surgery. Ann Thorac Surg 2015;99:103-108. Go to original source... Go to PubMed...
    24. Kazemi B, Akbarzadeh F, Safaei N, et al., Prophylactic high- -dose oral-N-acetylcysteine does not prevent atrial fibrillation after heart surgery: a prospective double blind placebo- -controlled randomized clinical trial. Pacing Clin Electrophysiol 2013;36:1211-1219. Go to original source... Go to PubMed...

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