Prophylactic Pulmonary Vein Isolation Study
Prophylactic Pulmonary Vein Isolation Study
This study is being done to learn the effects of the Pulmonary Vein Isolation in patients
 that are at high risk to developing, but do not have a documented history of atrial
 fibrillation.
Patients with a dilated left atrium (left upper chamber of the heart) that undergo mitral
 valve surgery may be at risk for the development of atrial fibrillation after surgery.

 Atrial fibrillation (also known as "A-Fib" or AF) is an abnormal heart rhythm which may cause
 symptoms such as pounding sensations in your chest, dizziness, fatigue, chest pain and/or
 shortness of breath. AF patients are at a higher risk of developing a stroke.

 Participants who sign informed consent will be randomized into one of two groups by chance
 (as in the flip of a coin).

 Approximately 77 patients will undergo their mitral valve operation along with Pulmonary Vein
 Isolation (a treatment group) and 77 patients who do not undergo Pulmonary Vein Isolation at
 the time of their mitral valve surgery (a control group).

 The treatment group will undergo operation for mitral valve disease with an additional
 procedure called Pulmonary Vein Isolation using a device that delivers radiofrequency energy
 to the heart muscle in order to create scar tissue to block electrical impulses that can
 trigger episodes of AF.

 The control group of patients will undergo operation for mitral valve disease without the
 additional Pulmonary Vein Isolation.
Inclusion Criteria:

 -  Indication for open-heart surgery: Mitral valve repair or replacement, evidence of a
 dilated left atrium

 Exclusion Criteria:

 -  History of Atrial Fibrillation

 -  Need for emergent cardiac surgery

 -  Previous cardiac surgery

 -  Preoperative need for an intraaortic balloon pump or intravenous inotropes

 -  Current diagnosis of active endocarditis

 -  Mental impairment/or experience other conditions which may not allow subject to
 understand nature

 -  Significance and scope of study

 -  Pregnancy