心房颤动的外科治疗进展

自20世纪80年代以来,经典的"切与缝"考克斯迷宫Ⅲ手术是外科治疗心房颤动(简称房颤)的金标准,但因其操作复杂而未能被广泛推广。21世纪以来,外科射频消融手术极大促进了房颤的外科治疗,但适应证仍以合并器质性心脏疾患的房颤患者为主,在心脏直视手术同期施行消融治疗。随着微创心脏外科技术的发展,目前外科治疗房颤的范围正突破原有的适应证,向孤立性房颤的治疗领域扩展。

Advances in Surgical Treatment of Atrial Fibrillation

For two decades,the cut-and-sew Cox-Maze Ⅲ procedure was the gold standard for the surgical treatment of atrial fibrillation(AF).However,this procedure was not widely adopted due to its complexity and technical difficulty.Over the last 10 years,the introduction of new ablation technology has led to the development of the surgical treatment for AF,though the indications are limited in intra-operative RF ablation in patients with permanent AF undergoing concomitant cardiac surgery.Now,these new ablation technologies are being adapted to offer thoracoscopic and minimally invasive AF ablation to patients with lone AF.