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Revista Mexicana de Cardiología

ISSN 0188-2198 (Print)
En 2019, la Revista Mexicana de Cardiología cambió a Cardiovascular and Metabolic Science

Ver Cardiovascular and Metabolic Science


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2002, Number 2

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Rev Mex Cardiol 2002; 13 (2)

Chronic atrial fibrillation: Left atrial reduction complemented through fenol intramyocardial use. Case report

García-Villarreal OA, González-Oviedo R
Full text How to cite this article

Language: Spanish
References: 10
Page: 59-61
PDF size: 61.73 Kb.


Key words:

Left atrial reduction, atrial fibrillation, mitral valve surgery, phenol, pulmonary veins isolation.

ABSTRACT

The left auricular reduction is an affluent procedure known for the elimination the chronic atrial fibrillation that accompanies the mitral valve disease. The fundamental part of this technique is represented by the isolation of the pulmonary veins. We present here to the experience of a case in which an intramiocardic injection of fenol was used to complement the isolation of the pulmonary veins, since the special situation of this case of being a re-redo (third) intervention on the mitral valve.


REFERENCES

  1. García-Villarreal OA, Rodríguez-González H, Gutiérrez-López A et al. Reconstrucción valvular mitral en el paciente reumático. Experiencia con un anillo de politetrafluoroetileno. Rev Mex Cardiol 1999; 10: 64-69.

  2. Garcia-Villarreal OA, Rodríguez H, Treviño A et al. Left atrial reduction and mitral valve surgery: the “functional-anatomic unit” concept. Ann Thorac Surg 2001; 71: 1044-1045.

  3. 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; 4: 139-145.

  4. García-Villarreal OA. Autotrasplante cardiaco parcial y reducción auricular izquierda como tratamiento para la fibrilación auricular crónica en la enfermedad valvular mitral: un nuevo concepto quirúrgico integral. Cir Ciruj 2001; 69: 194-198.

  5. Haissaguerre M, Jais P, Shah DC et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med 1998; 339: 659-666.

  6. Lin W-S, Prakash VS, Tai CT 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.

  7. Kay GN. Catheter ablation of atrial fibrillation: challenges and promise. Am J Cardiol 2000; 86(9 Suppl 1) K25-K27.

  8. Haissaguerre M, Shah DC, Jais P et al. Mapping-guided ablation of pulmonary veins to cure atrial fibrillation. Am J Cardiol 2000; 86(9 Suppl 1): K9-K19

  9. 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.

  10. Halpern D. Histologic studies in animals after intramuscular neurolysis with phenol. Arch Phys Med Rehabil 1977; 58: 438-443.




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Rev Mex Cardiol. 2002;13