Annals of Cardiothoracic Surgery (ACS)
Annals of Cardiothoracic Surgery (ACS)
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Ablation or drug therapy for initial atrial fibrillation
For more detail, please visit www.annalscts.com/article/view/17083/html
Atrial fibrillation (AF) is a chronic heart rhythm disorder, characterized by exacerbations interspersed with clinical remissions. Antiarrhythmic drugs (AADs) are traditionally considered to be the preferred initial therapy for the maintenance of sinus rhythm however, these medications have modest efficacy and significant adverse effects. Recent clinical trials have evaluated the role of catheter ablation as the initial therapeutic intervention, demonstrating that cryoballoon ablation significantly reduces atrial tachyarrhythmia recurrence and arrhythmia burden, produces clinically meaningful improvements in symptoms and quality of life, and significantly decreases healthcare resource utilization. In contrast to AADs, catheter ablation appears to be a disease modifying therapy, significantly reducing the progression to more advanced forms of AF. These findings are relevant to patients, providers, and healthcare systems, helping inform the decision regarding the initial choice of rhythm-control therapy in patients with treatment-naïve AF.
Cite this article as: Andrade JG. Ablation or drug therapy for initial atrial fibrillation. Ann Cardiothorac Surg 2024;13(1):71-76. doi: 10.21037/acs-2023-afm-0159
The Annals of Cardiothoracic Surgery (ACS) is a bi-monthly peer-reviewed scientific journal, focusing on the latest clinical evidence and surgical techniques. For more information regarding upcoming issues and manuscript submissions please visit www.annalscts.com.
zhlédnutí: 302

Video

Infective AV endocarditis with root abscess formation: a mitral sparing root-Commando operation17:28Infective AV endocarditis with root abscess formation: a mitral sparing root-Commando operation
Infective AV endocarditis with root abscess formation: a mitral sparing root-Commando operation
zhlédnutí 1,4KPřed měsícem
For more detail, please visit www.annalscts.com/article/view/16660/17054 In this surgical video Dr Quintana and team from the Hospital Clinic Barcelona, perform a mitral sparing root-commando procedure for infective aortic valve endocarditis with root abscess formation on a 59yo male. Cite this article as: Quintana E, Mestres CA, Sandoval E, Ibáñez C, Van Hemelrijck M, Pomar JL. Infective aorti...
Hybrid atrial fibrillation ablation22:48Hybrid atrial fibrillation ablation
Hybrid atrial fibrillation ablation
zhlédnutí 216Před měsícem
For more detail, please visit www.annalscts.com/article/view/17077/html In this state-of-the art review on hybrid atrial fibrillation (AF) ablation, the authors briefly focus on the pathophysiology of AF, the rationale for the hybrid approach, its technical aspects and the efficacy and safety outcomes after hybrid AF ablation, both from meta-analyses and randomized control trial data. They also...
Tailoring the valve choice to the patient: contemporary choices and their optimal applications36:50Tailoring the valve choice to the patient: contemporary choices and their optimal applications
Tailoring the valve choice to the patient: contemporary choices and their optimal applications
zhlédnutí 351Před 2 měsíci
For more detail, please visit www.annalscts.com/article/view/16736/17242 Join Dr Ben Wilkins & Dr Ole De Backer from The Heart Center, Rigshospitalet Copenhagen University, Denmark as they discuss patient tailored TAVR with case examples. Cite this article as: Wilkins B, Søndergaard L, De Backer O. Tailoring the valve choice to the patient: contemporary choices and their optimal applications. A...
Tricuspid valve endocarditis6:56Tricuspid valve endocarditis
Tricuspid valve endocarditis
zhlédnutí 750Před 2 měsíci
For more detail, please visit www.annalscts.com/article/view/16661/17057 Right-sided infective endocarditis (RSIE) encompasses 5-10% of all infective endocarditis (IE) cases. Among them, about 90% involve the tricuspid valve (TV). This surgical video presents the case of a patient with TVIE and focuses on the decision-making process and the TV operative techniques in the setting of TVIE. Cite t...
Hybrid arch frozen elephant trunk repair for acute type A intramural hematoma16:36Hybrid arch frozen elephant trunk repair for acute type A intramural hematoma
Hybrid arch frozen elephant trunk repair for acute type A intramural hematoma
zhlédnutí 1,1KPřed 2 měsíci
For more detail, please visit www.annalscts.com/article/view/16650/17043 In this operative video, Dr Michael W. A. Chu from the Western University, London Health Sciences Centre, Canada presents the case of a 61yo male with an acute type A IMH extending from the sinotubular junction, through the ascending aorta and arch to the proximal descending aorta. The patient was brought to the hybrid ope...
Mitral regurgitation improvement after successful AF ablation by using a 3D mapping system11:35Mitral regurgitation improvement after successful AF ablation by using a 3D mapping system
Mitral regurgitation improvement after successful AF ablation by using a 3D mapping system
zhlédnutí 263Před 2 měsíci
For more detail, please visit www.annalscts.com/article/view/17081/html In this masters presentation, Dr Nozomi Watanabe and Dr Keiichi Ashikaga from the University of Miyazaki Faculty of Medicine, Japan, present the case of a 73-year-old female with palpitations and dyspnea on exertion. Although the degree of atrial MR was significant, they discussed the possibility of LA reverse remodeling af...
Percutaneous endovascular repair of acute type A intramural hematoma of the ascending aorta9:14Percutaneous endovascular repair of acute type A intramural hematoma of the ascending aorta
Percutaneous endovascular repair of acute type A intramural hematoma of the ascending aorta
zhlédnutí 1,1KPřed 3 měsíci
For more detail, please visit www.annalscts.com/article/view/16648/17042 Ali Khoynezhad, MemorialCare Heart and Vascular Institute, USA presents the case of an 88-year-old female admitted with hypertensive urgency and chest pain. Computed tomography aortogram (CTA) revealed an ascending aortic intramural hematoma with a pericardial effusion. Due to her co-morbidities, she was not an open surgic...
Simplified technique for bilateral access totally thoracoscopic Maze17:16Simplified technique for bilateral access totally thoracoscopic Maze
Simplified technique for bilateral access totally thoracoscopic Maze
zhlédnutí 447Před 3 měsíci
For more detail, please visit www.annalscts.com/article/view/17082/html In this masters of cardiothoracic surgery video, Dr Stefano Benussi and team present the case of a symptomatic 56-year-old male patient with long-standing persistent atrial fibrillation (AF) who was scheduled for bilateral thoracoscopic surgical ablation and left atrial appendage (LAA) exclusion. Watch as they take you thro...
The SURD-AVR international registry: lessons learned from more than 4,500 patients18:00The SURD-AVR international registry: lessons learned from more than 4,500 patients
The SURD-AVR international registry: lessons learned from more than 4,500 patients
zhlédnutí 362Před 4 měsíci
For more detail, please visit www.annalscts.com/article/view/16747/17219 The Sutureless and Rapid-Deployment Aortic Valve Replacement International Registry (SURD-IR) was established in 2015 by a consortium of 18 research centers to assess safety, efficacy, short- and long-term outcomes of SURD-AVR interventions. In this keynote lecture, Drs Marco Di Eusanio & Paolo Berretta, from the Lancisi C...
LAA occlusion techniques for open heart surgery and for minimally invasive thoracotomy6:47LAA occlusion techniques for open heart surgery and for minimally invasive thoracotomy
LAA occlusion techniques for open heart surgery and for minimally invasive thoracotomy
zhlédnutí 557Před 4 měsíci
For more detail, please visit www.annalscts.com/article/view/17069/html Atrial fibrillation (AF) is the most common type of persistent cardiac arrhythmia and a leading cause of cardioembolic stroke. In patients affected by AF, up to 90% of thrombi originate from the left atrial appendage (LAA). Thus, surgical LAA occlusion (LAAO) or exclusion procedures aim to reduce cardioembolic events in AF ...
Multiple valve endocarditis: a Hemi-Commando procedure11:21Multiple valve endocarditis: a Hemi-Commando procedure
Multiple valve endocarditis: a Hemi-Commando procedure
zhlédnutí 1,5KPřed 4 měsíci
For more detail, please visit www.annalscts.com/article/view/16645/17055 Invasive double valve endocarditis (aortic and mitral) involving the fibrous skeleton of the heart requires complex high-risk surgical management. In this surgical video Drs Vojacek, Zacek & Ondrasek present the case of a 62yo male pt with a history of AVR & subsequent ICD implantation due to poor LVEF and history of ventr...
Over 15 years: the advancement of transcatheter aortic valve replacement23:59Over 15 years: the advancement of transcatheter aortic valve replacement
Over 15 years: the advancement of transcatheter aortic valve replacement
zhlédnutí 294Před 4 měsíci
For more detail, please visit www.annalscts.com/article/view/16772/17269 The management of aortic stenosis has been revolutionized by transcatheter aortic valve replacement (TAVR). Initially only undertaken in patients at prohibitive or high surgical risk, as the evidence base and indications have expanded, TAVR is now approved and undertaken in patients at all risk levels. In this review, Dr I...
Ultra fast-track trans-axillary mini-aortic valve replacement6:31Ultra fast-track trans-axillary mini-aortic valve replacement
Ultra fast-track trans-axillary mini-aortic valve replacement
zhlédnutí 890Před 5 měsíci
For more detail, please visit www.annalscts.com/article/view/16740/17239 Dr Marco Di Eusanio et al present the case of an 80-year-old-male with severe aortic valve stenosis. Their experience with the MI trans-axillary direct approach in mitral valve surgery (MVS) led them to consider that the aortic valve could be nicely exposed from the same approach. As a result, they initiated the use of tra...
Surgical debranching for endovascular arch penetrating ulcer management12:16Surgical debranching for endovascular arch penetrating ulcer management
Surgical debranching for endovascular arch penetrating ulcer management
zhlédnutí 813Před 5 měsíci
For more detail, please visit www.annalscts.com/article/view/16634/17015 Drs Tim Smith, Emma van der Weijde and Robin H. Heijmen from the Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands present the case of a 72yo male with PAU of the aortic arch and contained rupture. The patient was treated with TEVAR. Cite this article as: Smith T, van der Weijde E, He...
Thoracic endovascular aortic repair for type B intramural hematoma4:41Thoracic endovascular aortic repair for type B intramural hematoma
Thoracic endovascular aortic repair for type B intramural hematoma
zhlédnutí 718Před 8 měsíci
Thoracic endovascular aortic repair for type B intramural hematoma
Step-by-step rapid deployment Intuity Elite implant using a minimally invasive endoscopic approach10:59Step-by-step rapid deployment Intuity Elite implant using a minimally invasive endoscopic approach
Step-by-step rapid deployment Intuity Elite implant using a minimally invasive endoscopic approach
zhlédnutí 652Před 8 měsíci
Step-by-step rapid deployment Intuity Elite implant using a minimally invasive endoscopic approach
Minimally invasive aortic valve reconstruction with autologous pericardium: how we do it15:15Minimally invasive aortic valve reconstruction with autologous pericardium: how we do it
Minimally invasive aortic valve reconstruction with autologous pericardium: how we do it
zhlédnutí 930Před 10 měsíci
Minimally invasive aortic valve reconstruction with autologous pericardium: how we do it
The incidence & impact of cardiac conduction disturbances after transcatheter AVR15:26The incidence & impact of cardiac conduction disturbances after transcatheter AVR
The incidence & impact of cardiac conduction disturbances after transcatheter AVR
zhlédnutí 689Před 10 měsíci
The incidence & impact of cardiac conduction disturbances after transcatheter AVR
Snaring technique for explantation of transcatheter aortic valve bioprosthesis6:36Snaring technique for explantation of transcatheter aortic valve bioprosthesis
Snaring technique for explantation of transcatheter aortic valve bioprosthesis
zhlédnutí 1,1KPřed 10 měsíci
Snaring technique for explantation of transcatheter aortic valve bioprosthesis
Optimal timing of type A intramural hematoma repair10:49Optimal timing of type A intramural hematoma repair
Optimal timing of type A intramural hematoma repair
zhlédnutí 1,2KPřed 10 měsíci
Optimal timing of type A intramural hematoma repair
Valve sparing root replacement: reimplantation of the aortic valve25:24Valve sparing root replacement: reimplantation of the aortic valve
Valve sparing root replacement: reimplantation of the aortic valve
zhlédnutí 3KPřed rokem
Valve sparing root replacement: reimplantation of the aortic valve
Over 15 years: the advancement of transcatheter mitral valve repair20:05Over 15 years: the advancement of transcatheter mitral valve repair
Over 15 years: the advancement of transcatheter mitral valve repair
zhlédnutí 1,7KPřed rokem
Over 15 years: the advancement of transcatheter mitral valve repair
Management of retrograde type A IMH with acute arch tear/type B dissection21:07Management of retrograde type A IMH with acute arch tear/type B dissection
Management of retrograde type A IMH with acute arch tear/type B dissection
zhlédnutí 1,2KPřed rokem
Management of retrograde type A IMH with acute arch tear/type B dissection
Minimally invasive bicuspid aortic valve repair with external ring annuloplasty6:21Minimally invasive bicuspid aortic valve repair with external ring annuloplasty
Minimally invasive bicuspid aortic valve repair with external ring annuloplasty
zhlédnutí 964Před rokem
Minimally invasive bicuspid aortic valve repair with external ring annuloplasty
Intramural hematoma and penetrating ulcer in the descending aorta: differences and similarities27:44Intramural hematoma and penetrating ulcer in the descending aorta: differences and similarities
Intramural hematoma and penetrating ulcer in the descending aorta: differences and similarities
zhlédnutí 1,5KPřed rokem
Intramural hematoma and penetrating ulcer in the descending aorta: differences and similarities
Truncal valve repair and other aortic pediatric valves3:50Truncal valve repair and other aortic pediatric valves
Truncal valve repair and other aortic pediatric valves
zhlédnutí 175Před rokem
Truncal valve repair and other aortic pediatric valves
Valve sparing root replacement: remodeling root repair with aortic ring annuloplasty - BAV18:01Valve sparing root replacement: remodeling root repair with aortic ring annuloplasty - BAV
Valve sparing root replacement: remodeling root repair with aortic ring annuloplasty - BAV
zhlédnutí 780Před rokem
Valve sparing root replacement: remodeling root repair with aortic ring annuloplasty - BAV
AVR for tri-leaflet aortic insufficiency associated with asymmetric aortic root aneurysms14:57AVR for tri-leaflet aortic insufficiency associated with asymmetric aortic root aneurysms
AVR for tri-leaflet aortic insufficiency associated with asymmetric aortic root aneurysms
zhlédnutí 888Před rokem
AVR for tri-leaflet aortic insufficiency associated with asymmetric aortic root aneurysms
Direct transcatheter MVI in severe mitral annular calcification: technique and evidence10:05Direct transcatheter MVI in severe mitral annular calcification: technique and evidence
Direct transcatheter MVI in severe mitral annular calcification: technique and evidence
zhlédnutí 459Před rokem
Direct transcatheter MVI in severe mitral annular calcification: technique and evidence