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Early Results of Left Atrial Reduction Plasty in Patients Undergoing Mitral Valve Replacement

Ajit Kumar Padhy , Sunil Dhar , Anubhav Gupta , Sartaj Ahmed Guru , Ajit Kumar Padhy ,

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Journal of Cardiovascular Medicine and Surgery 5(3):p 131-136, July - September 2019. | DOI: http://dx.doi.org/10.21088/jcms.2454.7123.5319.4

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Sunil Dhar, Anubhav Gupta, Sartaj Ahmed Guru et al. Early Results of Left Atrial Reduction Plasty in Patients Undergoing Mitral Valve Replacement. J Cardiovasc Med Surg. 2019;5(3):131-136
 

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Abstract

Objective: To study the early outcomes of left atrial reduction plasty in patient undergoing mitral valve surgery with giant left atrium. Methods: We surgically excised the redundant left atrial wall in order to reduce the size of giant LA and replaced the mitral valve. Concomitant tricuspid valve repair was also done in patients having significant tricuspid disease. Results: Twelve patients underwent left atrial reduction plasty with mitral and tricuspid valve surgery. There was 48.15% reduction in left atrial size. Postoperatively, 75% regained sinus rhythm from atrial fibrillation. NYHA function was better. One patient was relieved from bronchial compression. There was no complication and no mortality. Conclusion: Left atrial reduction plasty is an effective modality for treating AF in patients of GLA undergoing mitral valve surgery. The restoration and maintenance of sinus rhythm in short term follow up is satisfactory.

 

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Cite this article

Sunil Dhar, Anubhav Gupta, Sartaj Ahmed Guru et al. Early Results of Left Atrial Reduction Plasty in Patients Undergoing Mitral Valve Replacement. J Cardiovasc Med Surg. 2019;5(3):131-136
 

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DOI: http://dx.doi.org/10.21088/jcms.2454.7123.5319.4

Keywords

Giant left atrium; Left atrial reduction plasty; Mitral valve replacement; NYHA; Left ventricular ejection fraction; AF

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