We evaluated long-term results of epicardial radio-frequency ablation of anatomical zones of left atrial ganglionar plexuses (GP) during aortocoronary bypass surgery in patients with coronary heart disease and atrial fibrillation (AF). In 2010-2012, radio-frequency ablation of GP was performed in 92 patients with AF. The patients were divided into 3 groups depending on the form of AF. Group 1 comprised patients with paroxysmal AF, group 2 with persistent AF, group 3 with long-standing persistent AF. Mean duration of observation was 14.4 ± 9.6 months. Radiofrequency ablation of GP anatomical zones combined with aortocoronary bypass surgery markedly improved the clinical and functional conditions of the patients and allowed to preserve the sinus rhythm for a long period in 78.6% and 39% of them presenting with paroxysmal and long-standing paroxysmal AF respectively.
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