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ORIGINAL ARTICLE

Successful combined operation for mitral insufficiency and atrial fibrillation in a 12 year-old patient

Francisco Gregori JrI; Samuel Silva da SilvaI; Ulisses Alexandre CrotiII; Sergio Shiguero HayashiII; Icanor Antônio RibeiroII; Pedro Aloizio KrelingI

DOI: 10.1590/S0102-76381996000200011

ABSTRACT

A combined mitral reconstructive surgery and Cox-maze operation without cryoablagao was performed in a 12-year-old female patient for the correction of a rheumatic mitral insufficiency and chronic atrial fibrillation. One year postoperative the patient was assymptomatic, in sinusal rhythm and no murmurs were observed. The Doppler echocardiogram showed an important reduction of the left atrial diameter and the cardiac catheterism confirmed an effective atrial systole.

RESUMO

Plastia valvar mitral combinada com cirurgia de COX (labirinto) foi realizada em uma paciente de 12 anos, para correção de insuficiência mitral reumática e fibrilação atrial crônica. Um ano após a cirurgia, a paciente encontra-se assintomática e em ritmo sinusal. O ecodopplercardiograma mostrou redução importante do átrio esquerdo e o cateterismo, assim como o ecodopplercardiograma confirmaram sístole atrial efetiva.
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REFERENCES

1. Cox J L, Boineau J P, Schuessler R B, Kater K M, Lappas D G - Five-year experience with the maze procedure for atrial fibrillation. Ann Thorac Surg 1994; 56: 814-24.

2. McCarthy P M, Castle L W, Maloney J D et al. - Initial experience with the maze procedure for atrial fibrillation. J Thorac Cardiovasc Surg 1993; 105: 1077-81.

3. Jatene A D, Sosa E, Tarasoutch F, Jatene M B, Pomerantzeff P M A - Tratamento cirúrgico da fibrilação arterial. Procedimento do "labirinto": experiência inicial. Rev Bras Cir Cardiovasc 1992; 7: 107-11.

4. Kosakai Y, Kawaguchi A T, Isobe F et al - Cox-maze procedure for chronic atrial fibrillation associated with mitral valve disease. J Thorac cardiovasc Surg 1994; 108: 1049-55.

5. Gregory Jr. F, Cordeiro C O, Silva S S, Aquino W K, Nechar Jr. A - Cox-maze operation without cryoablation for the treatment of chronic atrial 'fibrillation. Ann Thorac Surg 1995; 60: 361-4.

6. Gregori Jr. F, Silva S S, Hayashi S S, Aquino W, Cordeiro C, Silva R - Mitral valvuloplasty with a new prosthetic ring: analysis of the first 105 cases. Eur J Cardio-thorac Surg 1994, 8: 168-72.

Article receive on Sunday, March 31, 1996

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