Treatment of Chronic Atrial Fibrillation During Surgery for Rheumatic Mitral Valve Disease

Detalhes bibliográficos
Autor(a) principal: Gonçalves,Flavio Donizete
Data de Publicação: 2016
Outros Autores: Leite Junior,Valdir Gonçalves, Leite,Vanusa Gonçalves, Maia,Marcelo Alves, Gomes,Otoni Moreira, Lima,Melchior Luiz, Osterne,Evandro César Vidal, Kallás,Elias
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Cardiovascular Surgery (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000400318
Resumo: Abstract Introduction: The result of surgical ablation of atrial fibrillation remains controversial, although prospective and randomized studies have shown significant differences in the return to sinus rhythm in patients treated with ablation versus control group. Surgery of the Labyrinth, proposed by Cox and colleagues, is complex and increases the morbidity rate. Therefore, studies are needed to confirm the impact on clinical outcomes and quality of life of these patients. Objective: To analyze the results obtained in the treatment of atrial fibrillation by surgical approach, by Gomes procedure, for mitral valve surgery in patients with rheumatic heart disease associated with chronic atrial fibrillation. Methods: We studied 20 patients with mitral valve dysfunction of rheumatic etiology, evolving with chronic atrial fibrillation, submitted to surgical treatment of valvular dysfunction and atrial fibrillation by Gomes procedure. Results: The mean duration of infusion ranged from 65.8±11.22 and aortic clamping of 40.8±7.87 minutes. Of 20 patients operated, 19 (95%) patients were discharged with normal atrial heart rhythm. One (5%) patient required permanent endocardial pacing. In the postoperative follow-up of six months, 18 (90%) patients continued with regular atrial rhythm, one (5%) patient returned to atrial fibrillation and one (5%) patient continued to require endocardial pacemaker to maintain regular rhythm. Conclusion: Gomes procedure associated with surgical correction of mitral dysfunction simplified the surgical ablation of atrial fibrillation in patients with rheumatic mitral valve disease and persistent atrial fibrillation. The results showed that it is a safe and effective procedure.
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spelling Treatment of Chronic Atrial Fibrillation During Surgery for Rheumatic Mitral Valve DiseaseRheumatic Heart DiseaseHeart ValvesMitral ValveAtrial FibrillationAbstract Introduction: The result of surgical ablation of atrial fibrillation remains controversial, although prospective and randomized studies have shown significant differences in the return to sinus rhythm in patients treated with ablation versus control group. Surgery of the Labyrinth, proposed by Cox and colleagues, is complex and increases the morbidity rate. Therefore, studies are needed to confirm the impact on clinical outcomes and quality of life of these patients. Objective: To analyze the results obtained in the treatment of atrial fibrillation by surgical approach, by Gomes procedure, for mitral valve surgery in patients with rheumatic heart disease associated with chronic atrial fibrillation. Methods: We studied 20 patients with mitral valve dysfunction of rheumatic etiology, evolving with chronic atrial fibrillation, submitted to surgical treatment of valvular dysfunction and atrial fibrillation by Gomes procedure. Results: The mean duration of infusion ranged from 65.8±11.22 and aortic clamping of 40.8±7.87 minutes. Of 20 patients operated, 19 (95%) patients were discharged with normal atrial heart rhythm. One (5%) patient required permanent endocardial pacing. In the postoperative follow-up of six months, 18 (90%) patients continued with regular atrial rhythm, one (5%) patient returned to atrial fibrillation and one (5%) patient continued to require endocardial pacemaker to maintain regular rhythm. Conclusion: Gomes procedure associated with surgical correction of mitral dysfunction simplified the surgical ablation of atrial fibrillation in patients with rheumatic mitral valve disease and persistent atrial fibrillation. The results showed that it is a safe and effective procedure.Sociedade Brasileira de Cirurgia Cardiovascular2016-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000400318Brazilian Journal of Cardiovascular Surgery v.31 n.4 2016reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.5935/1678-9741.20160070info:eu-repo/semantics/openAccessGonçalves,Flavio DonizeteLeite Junior,Valdir GonçalvesLeite,Vanusa GonçalvesMaia,Marcelo AlvesGomes,Otoni MoreiraLima,Melchior LuizOsterne,Evandro César VidalKallás,Eliaseng2016-11-07T00:00:00Zoai:scielo:S0102-76382016000400318Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2016-11-07T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false
dc.title.none.fl_str_mv Treatment of Chronic Atrial Fibrillation During Surgery for Rheumatic Mitral Valve Disease
title Treatment of Chronic Atrial Fibrillation During Surgery for Rheumatic Mitral Valve Disease
spellingShingle Treatment of Chronic Atrial Fibrillation During Surgery for Rheumatic Mitral Valve Disease
Gonçalves,Flavio Donizete
Rheumatic Heart Disease
Heart Valves
Mitral Valve
Atrial Fibrillation
title_short Treatment of Chronic Atrial Fibrillation During Surgery for Rheumatic Mitral Valve Disease
title_full Treatment of Chronic Atrial Fibrillation During Surgery for Rheumatic Mitral Valve Disease
title_fullStr Treatment of Chronic Atrial Fibrillation During Surgery for Rheumatic Mitral Valve Disease
title_full_unstemmed Treatment of Chronic Atrial Fibrillation During Surgery for Rheumatic Mitral Valve Disease
title_sort Treatment of Chronic Atrial Fibrillation During Surgery for Rheumatic Mitral Valve Disease
author Gonçalves,Flavio Donizete
author_facet Gonçalves,Flavio Donizete
Leite Junior,Valdir Gonçalves
Leite,Vanusa Gonçalves
Maia,Marcelo Alves
Gomes,Otoni Moreira
Lima,Melchior Luiz
Osterne,Evandro César Vidal
Kallás,Elias
author_role author
author2 Leite Junior,Valdir Gonçalves
Leite,Vanusa Gonçalves
Maia,Marcelo Alves
Gomes,Otoni Moreira
Lima,Melchior Luiz
Osterne,Evandro César Vidal
Kallás,Elias
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Gonçalves,Flavio Donizete
Leite Junior,Valdir Gonçalves
Leite,Vanusa Gonçalves
Maia,Marcelo Alves
Gomes,Otoni Moreira
Lima,Melchior Luiz
Osterne,Evandro César Vidal
Kallás,Elias
dc.subject.por.fl_str_mv Rheumatic Heart Disease
Heart Valves
Mitral Valve
Atrial Fibrillation
topic Rheumatic Heart Disease
Heart Valves
Mitral Valve
Atrial Fibrillation
description Abstract Introduction: The result of surgical ablation of atrial fibrillation remains controversial, although prospective and randomized studies have shown significant differences in the return to sinus rhythm in patients treated with ablation versus control group. Surgery of the Labyrinth, proposed by Cox and colleagues, is complex and increases the morbidity rate. Therefore, studies are needed to confirm the impact on clinical outcomes and quality of life of these patients. Objective: To analyze the results obtained in the treatment of atrial fibrillation by surgical approach, by Gomes procedure, for mitral valve surgery in patients with rheumatic heart disease associated with chronic atrial fibrillation. Methods: We studied 20 patients with mitral valve dysfunction of rheumatic etiology, evolving with chronic atrial fibrillation, submitted to surgical treatment of valvular dysfunction and atrial fibrillation by Gomes procedure. Results: The mean duration of infusion ranged from 65.8±11.22 and aortic clamping of 40.8±7.87 minutes. Of 20 patients operated, 19 (95%) patients were discharged with normal atrial heart rhythm. One (5%) patient required permanent endocardial pacing. In the postoperative follow-up of six months, 18 (90%) patients continued with regular atrial rhythm, one (5%) patient returned to atrial fibrillation and one (5%) patient continued to require endocardial pacemaker to maintain regular rhythm. Conclusion: Gomes procedure associated with surgical correction of mitral dysfunction simplified the surgical ablation of atrial fibrillation in patients with rheumatic mitral valve disease and persistent atrial fibrillation. The results showed that it is a safe and effective procedure.
publishDate 2016
dc.date.none.fl_str_mv 2016-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000400318
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000400318
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/1678-9741.20160070
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
dc.source.none.fl_str_mv Brazilian Journal of Cardiovascular Surgery v.31 n.4 2016
reponame:Brazilian Journal of Cardiovascular Surgery (Online)
instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron:SBCCV
instname_str Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron_str SBCCV
institution SBCCV
reponame_str Brazilian Journal of Cardiovascular Surgery (Online)
collection Brazilian Journal of Cardiovascular Surgery (Online)
repository.name.fl_str_mv Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
repository.mail.fl_str_mv ||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br
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