微创外科治疗心房颤动的进展微创外科治疗心房颤动的进展

Progress in Minimally Invasive Surgery for Atrial Fibrillation

心房颤动病因机制复杂、病程长难根治,引发心力衰竭、猝死、卒中是病死病残率居高不下的主因。近年来微创外科治疗进展迅猛,在保留传统外科迷宫手术疗效的同时极大减少创伤,已成为孤立性心房颤动首选治疗手段之一,其与经导管心内消融优势互补,可望开创心房颤动治疗全新局面。

Atrial fibrillation （AF） is difficult to cure for its complex etiology and long disease duration. Heart failure, sudden death and stroke are the main causes for consequent high mortality and morbidity. In recent years, minimally invasive surgery has made rapid progress, not only improved treatment efficiency of traditional Cox Maze procedure but also massively reduced surgical injuries, and has become a preferred treatment strategy for lone AF. Minimally invasive surgery and catheter ablation complement each other, and are likely to open up a new prospect of AF treatment.