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[Cardiac rhythm disorders after pneumonectomy].

C Zukerman, J P Hubsch, A Dumouchel

    Revue De Pneumologie Clinique
    |January 1, 1985
    PubMed
    Summary

    Post-pneumonectomy arrhythmia, primarily atrial fibrillation, is common but manageable. Key predisposing factors include pericardial opening and increased mediastinal effusion, responding well to amiodarone treatment.

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    Area of Science:

    • Cardiothoracic Surgery
    • Cardiac Electrophysiology
    • Postoperative Care

    Context:

    • Pneumonectomy, a major thoracic surgery, carries risks of postoperative complications.
    • Arrhythmias, particularly atrial fibrillation, are observed in patients after pneumonectomy.
    • Understanding predisposing factors is crucial for patient management.

    Purpose:

    • To investigate the incidence and characteristics of arrhythmias following pneumonectomy.
    • To identify predisposing factors contributing to these arrhythmias.
    • To evaluate the efficacy of amiodarone treatment for post-pneumonectomy arrhythmias.

    Summary:

    • A study of 94 pneumonectomies identified 13 cases of arrhythmia, predominantly atrial fibrillation.
    • Arrhythmias typically occurred around the 5th postoperative day in ambulant patients and were hemodynamically tolerated.
    • Predisposing factors included pericardial opening and increased effusion with mediastinal displacement; hypoxia and hypovolemia were less significant.
    • Continuous amiodarone infusion proved effective in managing these arrhythmias.

    Impact:

    • This research aids in identifying high-risk patients for arrhythmias after pneumonectomy.
    • It highlights the importance of monitoring mediastinal effusion and mediastinal shift.
    • Findings support the use of amiodarone as a primary treatment for post-pneumonectomy atrial fibrillation.

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