房颤的微创外科治疗

Minimally invasive surgical approach to treat atrial fibrillation

心房颤动是临床较为常见的心律失常,在全世界范围内发病率高,且房颤及其相关并发症对人体健康造成极大的危害。近年来房颤的外科治疗在微创和个体化治疗方面取得了很大的发展。随着微创手术技术的精进和手术设备的不断创新,房颤的外科治疗进入了一个全新的发展阶段。对于患有心脏器质性病变,需要接受心脏手术的永久或阵发性房颤的患者应同期接受外科房颤消融,孤立性房颤目前也可以通过微创方法治疗。未来需要进一步研究确定杂交消融和机器人手术,特别是对于持续性房颤和持续的孤立性房颤患者的疗效。

Atrial fibrillation （AF）, known as a common supraventricular arrhythmia with substantial morbidity,has become an increas- ingly serious problem all over the world. The surgical approach to treat atrial fibrillation has had great advances in the past few years. New technologies have allowed the creation of transmural lesions on a beating heart through alternative, less-invasive incisions. It should be routinely proposed in most patients with permanent or paroxysmal AF undergoing cardiac surgery. Surgical ablation for lone atrial fibrillation can now be successful performed utilizing minimally invasive techniques. Further studies are warranted to determine whether the hybrid approach and total robotic cardiac surgery are efficient,especially in patients with long-standing persistent and persistent lone AF.