Criocoagulación de venas pulmonares como tratamiento complementario de la fibrilación auricular en cirugía valvular

Twenty onepatients had simultaneous valvular surgery and CPV, 81% of them had permanent AF for an average of5 years. Twenty patients had mitral valve disease. The etiology was rheumatic in 14. Average left atrialdiameter was 60 mm. In 7 patients the mitral valve was replaced, in 5 it was repaired, in 7 both mitraland aortic valve were replaced, in 1 the mitral valve was repaired and the aortic valve was replacedand in 1 only the aortic valve was replaced. A combined transeptal and superior approach was used forall patients. The CPV was performed after the valvular procedure with cryothermy at -60