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Non-cardiac thoracic surgery in patients with previous myocardial revascularization

Paulo M Pêgo-FernandesI; Fábio B JateneI; Alexandre WadaII; André Toraso YamazakiII; Erika MiyoshiII; Mário Terra FilhoI; Adib D JateneI

DOI: 10.1590/S0102-76381995000300005


It was analysed the experience of the Department of Thoracic Surgery of Faculdade de Medicina da Universidade de São Paulo, in 24 patients undergone non-cardiac thoracic surgeries, and who had been submitted to previous myocardial revascularization. Factors related to morbi-mortality were studied in this group of patients. Results showed a better outcome in patients who were submitted to myocardial revascularization between 6 months and 5 years before the thoracic surgery. It was noted a worst outcome in patients with previous myocardial infarction. The kind of surgeries and age greater than 70 years old showed to be important immediate and late risk factors.


É analisada a experiência da Disciplina de Cirurgia Torácica da Faculdade de Medicina da Universidade de São Paulo, em 24 pacientes submetidos a cirurgia torácica com revascularização miocárdica prévia. Estudaram-se variáveis em termos de morbi-mortalidade deste grupo de doentes. Os resultados mostraram que o melhor prognóstico foi encontrado nos pacientes submetidos a revascularização entre seis meses e cinco anos antes da cirurgia torácica. Notou-se, ainda, que os pacientes com infarto agudo do miocárdio apresentam um prognóstico tardio pior. O porte da cirurgia torácica e idade maior do que 70 anos foram fatores de risco tanto imediatos, quanto tardios.
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Article receive on Saturday, September 30, 1995

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