Tratamento cirúrgico da fibrilação atrial solitário
Palavras-chave:
Arritmias cardíacas, Fibrilação atrial, Procedimentos cirúrgicos cardíacos, Ponte cardiopulmonar, Procedimentos cirúrgicos minimamente invasivosResumo
Atualmente, isolamento epicárdico da veia pulmonar com cirurgia torácica vídeo-assistida sem circulação extracorpórea oferece uma alternativa atraente para procedimento de Maze com circulação extracorpórea no tratamento cirúrgico da fibrilação atrial solitária. No entanto, procedimento de Maze com circulação extracorpórea através de uma meio-esternotomia ainda desempenha papel importante em pacientes com fibrilação atrial isolada em várias ocasiões, especialmente em pacientes com falha da veia pulmonar percutânea isoladamente. O objetivo do artigo é fazer uma breve revisão de estratégias para o tratamento cirúrgico fibrilação atrial isolado e apresentar as possíveis indicações de procedimento de Maze com extracorpórea, através de uma abordagem meio-esternotomia.
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