Left and Right Atrial Reduction with Cox-Maze Procedure and MV replacement ( Dr Nirmal Gupta)

Causes Of Afib - Left and Right Atrial Reduction with Cox-Maze Procedure and MV replacement ( Dr Nirmal Gupta).

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We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Causes Of Afib . Hemodynamic burden on LA in the form of left atrial enlargement in patients with advanced rheumatic valvular disease leading to AF is well known. AF and its sustenance mechanism is known to correlates well with LA and pulmonary vein sizes. Large number of valve patients in India suffer with advanced rheumatic disease. (Severe MS / MR / with calcification, not amenable for repair). Most have prolonged duration atrial fibrillation. (Loss of atrial contribution in cardiac cycle, and resistant to electrical or medical defibrillation and are prone for thromboembolism). Many would have large of giant left atrium. (Signs of compression on adjacent structures). A good number will have multi-valvular disease. (Requiring prolonged and morbid multi-valvar procedures.)
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