{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T00:05:26Z","timestamp":1704758726530},"reference-count":22,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2006,9,4]],"date-time":"2006-09-04T00:00:00Z","timestamp":1157328000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2006,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We assessed whether the simultaneous sequential strategy could (1) achieve additional sinus restoration for those patients who were not in sinus rhythm while coming off bypass after modified left maze procedure and (2) attain the same long\u2010term success rates as the bi\u2010atrial maze procedure in patients with persistent atrial fibrillation (AF) and mitral valve disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Twenty\u2010seven consecutive patients \u2013 ten men and 17 women with a mean age of 52 \u00b1 13 years, all with persistent AF and mitral valve disease \u2013 underwent the modified maze procedure with the simultaneous sequential strategy. In the first phase, the modified left atrial maze operation was carried out with concomitant valvular surgery; the right side maze operation was subsequently carried out as a second phase of the sequential strategy only if AF re\u2010appeared following the spontaneous restoration of heart beats during the operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty patients (74.1%) underwent the left atrial maze procedure only, and seven patients (25.9%) required the subsequent right atrial maze procedure as part of the sequential strategy. At a mean follow\u2010up of 15.1 \u00b1 7.7\u00a0months, six of the 27 patients (22.2%) who underwent additional right atrial maze procedure had restored sinus rhythm. At a mean follow\u2010up of 17.8 \u00b1 7.3\u00a0months, 24 of the 27 patients (88.9%) had restored sinus rhythm and 22 patients (81.5%) had restored bi\u2010atrial transport function (right atrial filling fraction: 40.8 \u00b1 11.7%; left atrial filling fraction: 22.9 \u00b1 8.1%) after application of the sequential strategy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compared with modified left atrial maze procedure, the application of the simultaneous sequential strategy successfully restored sinus rhythm in an additional 22.2% of patients with persistent AF. The overall sinus conversion rate of 88.9% was comparable with that of the standard bi\u2010atrial maze procedure.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-006-0382-0","type":"journal-article","created":{"date-parts":[[2006,9,15]],"date-time":"2006-09-15T12:08:01Z","timestamp":1158322081000},"page":"1802-1808","source":"Crossref","is-referenced-by-count":2,"title":["Role of the Simultaneous Sequential Strategy for Failed Acute Sinus Restoration after Modified Left Maze Procedure for Persistent Atrial Fibrillation with Concomitant Mitral Surgery"],"prefix":"10.1002","volume":"30","author":[{"given":"Jen\u2010Ping","family":"Chang","sequence":"first","affiliation":[{"name":"Division of Thoracic and Cardiovascular Surgery, College of Medicine Chang Gung Memorial Hospital \u2013 Kaohsiung Medical Center, Chang Gung University Kaohsiung Taiwan, Republic of China"},{"name":"Division of Thoracic and Cardiovascular Surgery Chang Gung Memorial Hospital \u2013 Kaohsiung Medical Center, Chang Gung University 123, Ta Pei Road, Niao Sung Hsiang 83301 Kaohsiung Taiwan, Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mien\u2010Cheng","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Cardiology, College of Medicine Chang Gung Memorial Hospital \u2013 Kaohsiung Medical Center, Chang Gung University Kaohsiung Taiwan, Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiung\u2010Lun","family":"Kao","sequence":"additional","affiliation":[{"name":"Division of Thoracic and Cardiovascular Surgery, College of Medicine Chang Gung Memorial Hospital \u2013 Kaohsiung Medical Center, Chang Gung University Kaohsiung Taiwan, Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng\u2010Hsu","family":"Yang","sequence":"additional","affiliation":[{"name":"Division of Cardiology, College of Medicine Chang Gung Memorial Hospital \u2013 Kaohsiung Medical Center, Chang Gung University Kaohsiung Taiwan, Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teng\u2010Hung","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Cardiology, College of Medicine Chang Gung Memorial Hospital \u2013 Kaohsiung Medical Center, Chang Gung University Kaohsiung Taiwan, Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chien\u2010Jen","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Cardiology, College of Medicine Chang Gung Memorial Hospital \u2013 Kaohsiung Medical Center, Chang Gung University Kaohsiung Taiwan, Republic of 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