Abstract：
A 34-year-old woman presented with palpitations and paroxysmal atrial fibrillation (AF). Workup revealed anterior mitral valve prolapse with severe mitral regurgitation. She was referred for surgical repair and underwent a mitral valve replacement, tricuspid valve repair, and bi-atrial cryoMAZE procedure with left atrial appendage ligation. Her postoperative course was complicated by inferior wall myocardial infarction. She subsequently presented with palpitations and underwent electrophysiology study and ablation. This case illustrates pitfalls associated with the surgical MAZE procedure and highlights the challenges in postoperative atrial arrhythmias diagnosis and management.
摘要：
一名34岁女性出现心悸和阵发性心房颤动（AF）。检查显示二尖瓣前脱垂伴严重的二尖瓣反流。她被转诊接受手术修复并接受了二尖瓣置换术，三尖瓣修复术,和双心房冷冻MAZE程序与左心耳结扎。她的术后过程并发下壁心肌梗死。她随后出现心悸，并接受了电生理研究和消融。此病例说明了与外科MAZE手术相关的陷阱，并强调了术后房性心律失常诊断和管理的挑战。
