OBJECTIVE: The results of current surgical options for the treatment of permanent @entity955 associated with mitral valve surgery are widely different, particularly for extremely dilated left atria. The aim of this study is to assess the efficacy of cardiac autotransplantation in restoring a normal sinus rhythm via a consistent reduction in the left atrium volume associated with a complete isolation of the pulmonary veins. METHODS: From April 2000 to April 2002, 28 @entity1 ( @entity1 / @entity1 , 5/23) underwent cardiac autotransplantation for the treatment of @entity66 and concomitant permanent @entity955 (>1 year). A modified surgical technique derived from bicaval heart transplantation procedures maintained the connection of the right atrium with the inferior vena cava in all but 3 cases. In 2 @entity1 , the mitral valve was repaired, and it was replaced in 26 @entity1 . Associated procedures were 6 aortic valve replacements, 2 tricuspid valve annuloplasties, and 2 coronary revascularizations. RESULTS: No hospital deaths were recorded, but 1 @entity1 died of @entity55 3 months postoperatively. At a mean follow-up period of 17.2 +/- 6.7 months (range, 6-30 months), 24 @entity1 (88.9%) were in sinus rhythm, and 3 (11.1%) were in @entity955 . The Santa Cruz Score was 0 for 3 @entity1 , 2 for 1 @entity1 , and 4 for the remaining 23 @entity1 (85.2%). The mean left atrial diameter decreased from 65.4 +/- 17.1 mm (range, 50-130 mm) before the operation to 48.4 +/- 5.6 mm (range, 37-78 mm) postoperatively (P <.001), and the mean left atrial volume decreased from 119 +/- 70.5 mL (range, 60-426 mL) to 69.1 +/- 35.1 mL (range, 31-226 mL) (P <.0001). CONCLUSION: Cardiac autotransplantation is a safe and effective surgical option for the treatment of permanent @entity955 in @entity1 with long-lasting @entity339 and severe enlargement of the left atrium.

Cardiac autotransplantation for the treatment of permanent @entity955 combined with XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'men'] @entity339 :: ('MESH:D008944', 'Disease') :: ['mitral valve disease'] @entity66 :: ('MESH:D004194', 'Disease') :: ['mitral disease'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity955 :: ('MESH:D001281', 'Disease') :: ['atrial fibrillation']
@entity339 :: (MESH:D008944,Disease) :: ['mitral valve disease']
