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目的 评价房间隔缺损(atrial septal defect,ASD)手术同期心房颤动(atrial fibrillation,AF)双房射频消融的远期疗效.方法 回顾性分析2003年3月至2015年4月我科连续15例行ASD修补同期双房射频消融患者的临床资料,其中男7例、女8例,平均年龄16～62(47.1±10.8)岁.观察术后远期AF射频消融的成功率.结果 15例患者手术顺利,术后早期无死亡、卒中等严重不良事件发生.所有患者均完成随访,随访时间61(3～136)个月.术后1年、3年、5年、10年AF消融成功率分别为81.3％、75.0％、68.8％和61.1％.随访期间无死亡及卒中事件发生,1例患者安装永久性起搏器.结论 ASD修补手术同期AF双房射频消融术后远期疗效好,安全有效,ASD修补患者有必要同期行AF双房射频消融治疗.“,”Objective To evaluate long-term outcomes of surgical closure of atrial septal defect (ASD) and combined surgical radiofrequency ablation for atrial fibrillation (AF).Methods A total of consecutive 15 patients with ASD undergoing surgical closure of ASD and combined surgical radiofrequency ablation in our department between March 2003 and April 2015.There were 7 males and 8 females at an average age of 47.1±10.8 years ranging from 16 to 62 years.Retrospective analysis and follow-up were performed to evaluate long-term success rate freedom from AF after surgery.Results All patients recovered and discharged,and no patient suffered death or stroke.The duration of follow-up was from 3 to 136 months for all patients.Success rate freedom from AF at 1,3,5 and 10 years was 81.3％,75.0％,68.8％ and 61.1％,respectively.During follow-up,there was no death or stroke.One patient required permanent pacemaker implantation.Conclusion Concomitant surgical closure of ASD and biatrial radiofrequency ablation is safe and effetive with better long-term outcomes.It is necessary to perform the two procedures together for ASD patients.