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  • Title: [Supraventricular arrhythmia after pneumonectomy. Apropos of 100 cases and review of the literature].
    Author: Douchet MP, Barsotti P, Schneeberger M, Bauer C, Massard G, Brechenmacher C, Wihlm JM.
    Journal: Ann Cardiol Angeiol (Paris); 1998 May; 47(5):323-7. PubMed ID: 9772949.
    Abstract:
    Supraventricular arrhythmias are frequently observed in pneumonectomy surgery. We retrospectively studied a series of 100 consecutive patients undergoing pneumonectomy for cancer between 1994 and 1996. We found 24% of significant supraventricular arrhythmias, corresponding to atrial fibrillation in 75% of cases, occurring in 80% of cases until the third postoperative day. The only risk factor significantly associated with these arrhythmias was the patient's age. These arrhythmias are easily reduced, spontaneously in 25% of cases, and usually by amiodarone, alone or associated with digitalis alkaloids. While the mortality of the overall group was 12%, 8% of patients with arrythmia died. These deaths concerned patients whose arrythmias occurred after the fourth postoperative day in a context of a pulmonary infection.
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