Yusuke Muranishi1, Makoto Sonobe1, Toshi Menju1, Akihiro Aoyama1, Toyohumi F Chen-Yoshikawa1, Toshihiko Sato1, Hiroshi Date2. 1. Department of Thoracic Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan. 2. Department of Thoracic Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan. hdate@kuhp.kyoto-u.ac.jp.
Abstract
PURPOSE: Atrial fibrillation (Af) is a common post-operative cardiac complication after lung cancer surgery; however, the type of lung cancer surgery being performed has evolved, remarkably, into minimally invasive surgical procedures. The purpose of this study was to quantify the incidence and severity of post-operative Af and to identify the risk factors for Af, using a recent cohort of lung cancer surgery patients. METHODS: We reviewed, retrospectively, the medical records of 593 patients, who underwent lung cancer surgery between 2011 and 2013, for the development of post-operative Af. RESULTS: The overall incidence of post-operative Af in our study was 6.4 % (38/593). Three (8 %) of these 38 patients, subsequently, suffered brain infarction. Multivariate analysis revealed that mediastinal lymph node dissection (OR ND-2/ND-0-1 = 3.06; 95 % CI 1.06-10.9) was associated with the development of post-operative Af. CONCLUSION: Omission of mediastinal lymph dissection for patients with early stage lung cancer and a high risk of Af should be considered to prevent post-operative Af.
PURPOSE:Atrial fibrillation (Af) is a common post-operative cardiac complication after lung cancer surgery; however, the type of lung cancer surgery being performed has evolved, remarkably, into minimally invasive surgical procedures. The purpose of this study was to quantify the incidence and severity of post-operative Af and to identify the risk factors for Af, using a recent cohort of lung cancer surgery patients. METHODS: We reviewed, retrospectively, the medical records of 593 patients, who underwent lung cancer surgery between 2011 and 2013, for the development of post-operative Af. RESULTS: The overall incidence of post-operative Af in our study was 6.4 % (38/593). Three (8 %) of these 38 patients, subsequently, suffered brain infarction. Multivariate analysis revealed that mediastinal lymph node dissection (OR ND-2/ND-0-1 = 3.06; 95 % CI 1.06-10.9) was associated with the development of post-operative Af. CONCLUSION: Omission of mediastinal lymph dissection for patients with early stage lung cancer and a high risk of Af should be considered to prevent post-operative Af.
Entities:
Keywords:
Atrial fibrillation; Brain infarction; Complication; Lung cancer; Surgery
Authors: Walter J Scott; Mark S Allen; Gail Darling; Bryan Meyers; Paul A Decker; Joe B Putnam; Robert W McKenna; Rodney J Landrenau; David R Jones; Richard I Inculet; Richard A Malthaner Journal: J Thorac Cardiovasc Surg Date: 2010-02-20 Impact factor: 5.209
Authors: Subroto Paul; Nasser K Altorki; Shubin Sheng; Paul C Lee; David H Harpole; Mark W Onaitis; Brendon M Stiles; Jeffrey L Port; Thomas A D'Amico Journal: J Thorac Cardiovasc Surg Date: 2010-02 Impact factor: 5.209
Authors: Jelena Ivanovic; Donna E Maziak; Sarah Ramzan; Anna L McGuire; Patrick James Villeneuve; Sebastien Gilbert; R Sudhir Sundaresan; Farid M Shamji; Andrew J E Seely Journal: Interact Cardiovasc Thorac Surg Date: 2013-12-12
Authors: Eric E Roselli; Sudish C Murthy; Thomas W Rice; Penny L Houghtaling; Christopher D Pierce; Daniel P Karchmer; Eugene H Blackstone Journal: J Thorac Cardiovasc Surg Date: 2005-08 Impact factor: 5.209
Authors: Marta Lembicz; Piotr Gabryel; Beata Brajer-Luftmann; Wojciech Dyszkiewicz; Halina Batura-Gabryel Journal: Ann Thorac Med Date: 2018 Apr-Jun Impact factor: 2.219
Authors: Joseph D Phillips; Eleah D Porter; Brendin R Beaulieu-Jones; Kayla A Fay; Rian M Hasson; Timothy M Millington; David J Finley Journal: J Thorac Dis Date: 2020-06 Impact factor: 3.005