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2001, Número 4

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Cir Cir 2001; 69 (4)


Autotrasplante cardiaco parcial y reducción auricular izquierda como tratamiento para la fibrilación auricular crónica en la enfermedad valvular mitral. Un nuevo concepto quirúrgico integral

García-Villarreal OA

Idioma: Español
Referencias bibliográficas: 31
Paginas: 194-198
Archivo PDF: 233.28 Kb.


RESUMEN

La reducción auricular izquierda con aislamiento de las venas pulmonares y amputación de la orejuela izquierda representa el aspecto crucial en la cirugía para la eliminación de la fibrilación auricular crónica durante el curso de la cirugía valvular mitral. Sin embargo, el riesgo de hemorragia de difícil acceso quirúrgico, así como de daño a la arteria coronaria circunfleja, son factores que hacen que esta técnica quirúrgica no goce de amplia aceptación. El autotrasplante cardíaco parcial permite una excelente visualización de todo el campo operatorio, lo que reduce de manera significativa los riesgos previamente descritos. Se presentan aquí los dos primeros casos operados con éxito a nivel mundial de cirugía valvular mitral y reducción auricular izquierda, mediante técnica de autotrasplante cardíaco parcial para la eliminación de la fibrilación auricular crónica.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Cox JL, Schuessler RB, Lappas DG, Boineau JP. A 8½-year clinical experience with surgery for atrial fibrillation. Ann Thorac Surg 1996; 224: 267-275.

  2. Cox JL, Boineau JP, Schuessler RB, Jaquis RDB, Lappas DG. Modification of the maze procedure for atrial flutter and atrial fibrillation I. Rationale and surgical results. J Thorac Cardiovasc Surg 1995; 110: 473-484.

  3. Sankar NM, Farnsworth AE. Left atrial reduction for chronic atrial fibrillation associated with mitral valve disease. Ann Thorac Surg 1998; 65: 254-256.

  4. García-Villarreal OA, Lozano HG, Gutiérrez AL, et al. Reducción auricular izquierda, aislamiento de las venas pulmonares y extirpación de la orejuela izquierda por fibrilación auricular crónica asociadas a cirugía valvular mitro-tricuspídea. Informe del primer caso exitoso en México. Rev Mex Cardiol 1998; 9: 139-145.

  5. García-Villarreal OA, Rodríguez H, Treviño A, Gouveia AB, Argüero A. Left atrial reduction and mitral valve surgery: the “functional-anatomic unit” concept. Ann Thorac Surg 2001; 71: 1044-1045.

  6. García-Villarreal OA, Rodríguez-González H, Gutiérrez-López A, Treviño-Treviño AJ, Hernández-Hernández JM, Gouveia AB. Reconstrucción valvular mitral en el paciente reumático. Experiencia con un anillo de politetrafluoroetileno. Rev Mex Cardiol 1999; 10: 64-69.

  7. Isobe F, Kawashima Y. The outcome and indications of the Cox maze III procedure for chronic atrial fibrillation with mitral valve disease. J Thorac Cardiovasc Surg 1998; 116: 220-227.

  8. Kawaguchi AT, Kosakai Y, Isobe F, et al. Surgical stratification of patients with atrial fibrillation secondary to organic cardiac lesions. Eur J Cardiothorac Surg 1996; 10: 983-989.

  9. Isomura T, Hisatomi K, Hirano A, Maroyama H, Kosuga K, Ohishi K. Left atrial plication and mitral valve replacement for giant left atrium accompanying mitral lesions. J Cardiac Surg 1993; 8: 365-370.

  10. Lessana A, Scorsin M, Scheublé C, Raffoul R, Rescigno G, Effective reduction of giant left atrium by partial heart autotransplantation. Ann Thorac Surg 1998; 65: 254-256.

  11. Cox JL, Boineau JP, Scuessler RB, Kater KM, Lappas DG. Five-year experience with the maze procedure for atrial fibrillation. Ann Surg 1993; 56: 814-824.

  12. Haïssaguerre M, Shah DC, Jais P, Hocini M, Yamane T, Deisenhofer II, Garrigue S, et al. Mapping-guided ablation of pulmonary veins to cure atrial fibrillation. Am J Cardiol 2000; 86(9 Suppl 1): K9-K19.

  13. Haïssaguerre M, Jais P, Shah DC, Arentz T, Kalusche D, Takahashi A, et al. Catheter ablation of chronic atrial fibrillation targeting the reinitiating triggers. J Cardiovasc Electrophysiol 2000; 11: 2-10.

  14. Shah DC, Haïssaguerre M, Jais P. Catheter ablation of pulmonary vein foci for atrial fibrillation: PV foci ablation for atrial fibrillation. Thorac Cardiovasc Surg 1999; 47(Suppl 3): 352-6.

  15. Haïssaguerre M, Jais P, Shah DC, Takahashi A, Hocini M, Quiniou G, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med 1998; 339: 659-66.

  16. Haïssaguerre M, Jais P, Shah DC, Arentz T, Kalusche D, Takahashi A, et al. Catheter ablation of chronic atrial fibrillation targeting the reinitiating triggers. J Cardiovasc Electrophysiol 2000; 11: 2-10.

  17. Haïssaguerre M, Jais P, Shah DC, Garrigue S, Takahashi A, Lavergne T, et al. Electrophysiological end point for catheter ablation of atrial fibrillation initiated from multiple pulmonary venous foci. Circulation. 2000; 101: 1409-1417.

  18. Saito T, Waki K, Becker AE. Left atrial myocardial extension onto pulmonary veins in humans: anatomic observations relevant for atrial arrhythmias. J Cardiovasc Electrophysiol 2000; 11: 888-894.

  19. Moubarak JB, Rozwadowski JV, Strzalka CT, Buck WR, Tan WS, Kish GF, et al. Pulmonary veins-left atrial junction: anatomic and histological study. Pacing Clin Electrophysiol 2000; 23: 1836-1838.

  20. Ho SY, Sánchez-Quintana D, Cabrera JA, Anderson RH. Anatomy of the left atrium: implications for radiofrequency ablation of atrial fibrillation. J Cardiovasc Electrophysiol 1999; 10: 1525-1533.

  21. Saito T, Waki K, Becker AE. Left atrial myocardial extension onto pulmonary veins in humans: anatomic observations relevant for atrial arrhythmias. J Cardiovasc Electrophysiol 2000; 11: 888-894.

  22. Kay GN. Catheter ablation of atrial fibrillation: challenges and promise. Am J Cardiol 2000; 86(Suppl 1): K25-K27.

  23. Lin WS, Prakash VS, Tai CT, Hsieh MH, Tsai CF, Yu WC, et al. Pulmonary vein morphology in patients with paroxysmal atrial fibrillation initiated by ectopic beats originating from the pulmonary veins: implications for catheter ablation. Circulation 2000; 101: 1274-1281.

  24. Cannom DS. Atrial fibrillation: nonpharmacologic approaches. Am J Cardiol 2000; 85(Suppl 1): 25-35.

  25. Mangrum MJ, Haines DE, DiMarco JP, Mounsey PJ. Elimination of focal atrial fibrillation with a single radiofrequency ablation: use of a basket catheter in a pulmonary vein for computerized activation sequence mapping. J Cardiovasc Electrophysiol 2000 Oct; 11: 1159-64.

  26. Pappone C, Oreto G, Lamberti F, Vicedomini G, Loricchio ML, Shpun S. Catheter ablation of paroxysmal atrial fibrillation using a 3D mapping system. Circulation 1999; 100: 1203-1208.

  27. Ernst S, Ouyang F, Schneider B, Kuck KH. Prevention of atrial fibrillation by complete compartmentalization of the left atrium using a catheter technique. Cardiovasc Electrophysiol 2000; 11: 686-690.

  28. Guerra PG, Lesh MD. Catheter-ablative techniques for the treatment of atrial fibrillation. Curr Cardiol Rep 1999; 1: 142-148.

  29. Jais P, Shah DC, Haïssaguerre M, Hocini M, Peng JT, Clementy J. Catheter ablation for atrial fibrillation. Catheter ablation for atrial fibrillation. Annu Rev Med 2000; 51: 431-441.

  30. Thomas SP, Wallace EM, Ross DL. The effect of a residual isthmus of surviving tissue on conduction after linear ablation in atrial myocardium. J Interv Card Electrophysiol 2000; 4: 273-281.

  31. Melo J, Adragao P, Neves J, Ferreira M, Timoteo A, Santiago T, et al. Endocardial and epicardial radiofrequency ablation in the treatment of atrial fibrillation with a new intra-operative device. Eur J Cardiothorac Surg 2000; 18: 182-186.




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