Predictors for atrial transport function after mini-maze operation

Background. Restoration of atrial transport function (ATF) is a major goal of the maze procedure. This prospective study was undertaken to evaluate pr edictors of left atrial transport function in patients undergoing a mini-va riant of the maze III procedure 3 and 12 months postoperatively. Methods. Mini-maze operation was performed in 72 patients with a mean age o f 64 +/- 8.7 years during a 5-year period. Seventy of 72 (97%) had combined procedures. Clinical and electrophysiologic examination was carried out be fore surgery, and 3 and 12 months postoperatively. Results. Early mortality was 1.4% (1 of 72 patients) and late death occurre d in 5.6% (4 of 71 patients). After 3 months, 54 of 68 (80%) patients showe d sinus rhythm, and 48 of 60 (80%) after 12 months. ATF was restored in 87% (echocardiography) and 82% (magnetic resonance imaging) after 3 months, an d in 86% (echocardiography) and 78% (magnetic resonance imaging) after 12 m onths. Independent predictors for ATF restoration after 12 months were bett er preoperative left ventricular function (p = 0.02), and smaller preoperat ive left atrial diameter (P = 0.005). Correlation between echocardiography and magnetic resonance imaging was 80% after 12 months. Conclusions. Restoration of ATF after mini-maze procedure is achieved in ov er 80%. Independent predictors for ATF restoration are smaller preoperative left atrial diameter and better preoperative left ventricular ejection fra ction. (C) 2001 by The Society of Thoracic Surgeons.