Atrial Fibrillation, Immediate Surgical Results to Totally Non-Invasive Cyberheart a New Option

Federico Benetti*, José Ameriso and Natalia Scialacomo

Department of Cardiac Surgery, Benetti Foundation, Argentina

^*Correspondance to: Federico Benetti 

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Abstract:

Introduction: In the USA atrial fibrillation is the second cause of heart disease after arterial
hypertension, affecting 4 million Americans every year for many patients the heart rate control is
inadequate to improve their quality of life or reduce the symptoms of heart failure, the failure in the
control of the heart rate generates multiple hospitalizations and many times a great state of anxiety
and depression, having a reported recurrence up to 80% in the year in this work we will present the
experience of the Benetti Foundation in the surgery of atrial fibrillation and the initial experience
with the CyberHeart system between 2000 and 2019, 29 patients underwent treatment for atrial
fibrillation with different procedures. Twenty-seven were operated; 18 patients concomitantly with
coronary surgery without the use of extracorporeal circulation; 14 of them using microwave and 4
radiofrequency as a source for the ablation the average age was 62 (± 5 to ± 7) and 30% were women,
the number of bypasses was 3.2 per patient. In two AF patients, after CT was used to delineate atrial
anatomy and targets; radioablation was performed with assistance from radiation oncologists and
physicists the operative mortality of this series was 0%. Hospitalization varied between 3 and 12
days with an average of 7.7 (± 4.6) conclusions our surgical experience of atrial fibrillation shows
the possibility of reproducibility of different techniques in different pathologies. The combination
of surgical treatment, electrophysiological treatment and adequate medical treatment undoubtedly
open a great possibility to alleviate this disease that has really catastrophic consequences. A
suitable dedicated team (Heart Team) is essential to improve the immediate and remote results
of the treatment of atrial fibrillation in its different stages new technique totally non-invasive as
CyberHeart open a new alternative of treatment more experience is needed.

Keywords:

Atrial fibrillation; Surgical treatment; Microwave; CyberHeart

Cite the Article:

Benetti F, Ameriso J, Scialacomo N. Atrial Fibrillation, Immediate Surgical Results to Totally Non-Invasive Cyberheart a New Option. World J Surg Surgical Res. 2020; 3: 1199..