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dc.contributor.authorKalil, Renato Abdala Karampt_BR
dc.contributor.authorNesralla, Paula L. M.pt_BR
dc.contributor.authorLima, Gustavo Glotz dept_BR
dc.contributor.authorLeiria, Tiago Luiz Luzpt_BR
dc.contributor.authorAbrahao, Rogeriopt_BR
dc.contributor.authorMoreno, Paulo Lavaniere de Azevedopt_BR
dc.contributor.authorPrates, Paulo Roberto Lunardipt_BR
dc.contributor.authorSant'Anna, João Ricardo Michielinpt_BR
dc.contributor.authorNesralla, Ivo Abrahaopt_BR
dc.date.accessioned2010-04-16T09:11:33Zpt_BR
dc.date.issued2002pt_BR
dc.identifier.issn0066-782Xpt_BR
dc.identifier.urihttp://hdl.handle.net/10183/19774pt_BR
dc.description.abstractObjective – To assess the occurrence of late thromboembolism after surgical repair of chronic atrial fibrillation (AF) simultaneously with repair of mitral valve using the Cox-Maze procedure. Methods – 69 patients underwent Cox 3 procedure, with no cryoablation simultaneously with mitral valvuloplasty or prosthesis. Mean age was 49.9±13.2 years. Mean follow-up was of 31.7±19 months. Types of lesion were as follows: 33 (48%) stenoses, 23 (33%) insufficiencies, and 13 (19%) double lesions. Procedures were: 64 (93%) valvuloplasties, 3 (4%) biological and 2 ( 3%) mechanical prosthesis placement. There were 9 (13%) patients with previous systemic embolism and 2 ( 3%) had left atrial thrombi. Results – Early mortality was 7% and late 1%. 2 patients ( 3%) were reoperated for mitral placement. At last evaluation, 10 patients (15%), were in AF. The remaining 59 (85%) were either in sinus / atrial rythm (74%) or under pacing (12%). There were no occurrence of early or late, systemic or pulmonary embolism. Permanent anticoagulation was employed in 16 cases, 10 in regular rythm and 6 in AF. The remaining 47 (75%), 2 in AF and 45 in regular rythm, did not receive anticoagulants. Conclusions – These results are in accordance with others series, where the occurrence of embolism was rare after maze procedure. Permanent systemic anticoagulation seems to be unnecessary in those cases.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoporpt_BR
dc.relation.ispartofArquivos brasileiros de cardiologia. São Paulo. Vol. 78, n. 4 (abr. 2002), p. 374-377pt_BR
dc.rightsOpen Accessen
dc.subjectAtrial fibrillationen
dc.subjectFibrilação atrialpt_BR
dc.subjectTromboembolismopt_BR
dc.subjectThromboembolismen
dc.subjectValva mitralpt_BR
dc.subjectMitral valve surgeryen
dc.titleAvaliação de tromboembolismo em pós-operatório da cirurgia do labirinto (Cox-Maze) para fibrilação atrial crônica secundária a lesão mitralpt_BR
dc.title.alternativeAssessment of thromboembolism after the cox-maze prcedure for chronic atrial fibrillation secondary to mitral valve lesion en
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000408540pt_BR
dc.type.originNacionalpt_BR


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