Surgery for arrhythmias in children

Mavroudis, Constantine; Deal, Barbara J.; Backer, Carl L.

doi:10.1016/j.ijcard.2004.08.008

Cited by 27 publications

(16 citation statements)

References 106 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…83 For occasional Fontan patients who have atrial fibrillation in addition to IART, the maze can be extended to the left atrium with a variation of the Cox procedure. 84 Fontan conversion with an atrial maze has a very good record for eliminating atrial tachycardia. Initial estimates of recurrence 85 were on the order of 12% but are perhaps even lower now that the proper ablation lesion set has been better defined.…”

Section: Fontan Conversion and Atrial Mazementioning

confidence: 99%

See 1 more Smart Citation

Interventional Electrophysiology in Patients With Congenital Heart Disease

Walsh

2007

Circulation

155

View full text Add to dashboard Cite

Section: Fontan Conversion and Atrial Mazementioning

confidence: 99%

“…86 Still, it is a major operation with a combined risk of mortality or need for postoperative heart transplant that exceeds 5%, and these risks must be balanced carefully against the potential electrophysiological benefit. 84 …”

Section: Fontan Conversion and Atrial Mazementioning

confidence: 99%

Interventional Electrophysiology in Patients With Congenital Heart Disease

Walsh

2007

Circulation

155

View full text Add to dashboard Cite

“…Based on the historic data regarding populations with the highest incidence of atrial arrhythmia development, targeted populations for prophylactic arrhythmia surgery in the right atrium include patients with unrepaired ASDs presenting over 40 years of age (1,5), patients with Ebstein anomaly (1), tetralogy patients presenting for pulmonary valve insertion (1,68,69), and single-ventricle patients who present for Fontan operations (1,16,32,(70)(71)(72). Prophylactic surgery for AF would be considered for patients with significant leftsided atrioventricular disease and severe left atrial dilatation undergoing planned surgery, with lesions including left atrial maze and right-sided cavotricuspid isthmus ablation (16).…”

Section: Proposed Lesions Sets For Prophylactic Arrhythmia Surgerymentioning

confidence: 99%

Prophylactic arrhythmia surgery in association with congenital heart disease

Mavroudis

Deal

2016

Transl. Pediatr.

Self Cite

View full text Add to dashboard Cite

Certain congenital heart anomalies make patients more susceptible to arrhythmia development throughout their lives. This poses the question whether prophylactic arrhythmia surgery should be incorporated into reparative open heart procedures for congenital heart disease. There is currently no consensus on what constitutes a standard prophylactic procedure, owing to the questions that remain regarding lesions to be performed; energy sources to use; proximity of energy source or incisions to coronary arteries, sinoatrial node, atrioventricular node; circumstances for right atrial, left atrial, or biatrial appendectomy; and whether to perform a right, left, or biatrial maze procedure. These considerations are important because prophylactic arrhythmia procedures are performed without knowing if the patient will actually develop an arrhythmia in his or her lifetime. By reviewing and summarizing the literature, congenital heart disease patients who are at risk for developing atrial arrhythmias can be identified and lesion sets can be suggested in an effort to standardize experimental protocols for prophylactic arrhythmia surgery.

show abstract

“…We and others have demonstrated that conversion from an atriopulmonary to a total cavopulmonary artery extracardiac Fontan with concomitant arrhythmia surgery and pacemaker placement is a safe and efficacious operation in this increasingly complex patient population [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]. The purpose of this invited review is to discuss the various arrhythmia mechanisms, present our current surgical strategy, and highlight the various interventions that are required to treat differing anatomic and arrhythmia substrates.…”

Section: Introductionmentioning

confidence: 99%

Late reoperations for Fontan patients: state of the art invited review

Mavroudis

Backer

Deal

2008

European Journal of Cardio-Thoracic Surgery

Self Cite

View full text Add to dashboard Cite

Conversion of the atriopulmonary Fontan to a total cavopulmonary extracardiac connection with concomitant arrhythmia surgery and pacemaker placement is a safe and efficacious procedure for this patient population. From 1994 to 2007 a total of 118 patients have undergone this procedure with one (0.8%) early and nine (7.6%) late deaths. During the course of our experience with Fontan conversion our surgical strategy has evolved to include various ablative techniques to treat macro re-entrant atrial tachycardia, focal (automatic) atrial tachycardia, atrioventricular nodal reentry tachycardia, atrial tachycardia due to accessory connections, atrial fibrillation, and ventricular tachycardia. The various mechanisms that we use to treat the underlying atrial arrhythmias are described in this review. We have also encountered patients with variations of the Fontan and other complex anatomic and pathophysiologic aberrations who were not amenable to standard takedown and ablative procedures. We describe those circumstances and the solutions we found to treat those patients.

show abstract

Surgery for arrhythmias in children

Cited by 27 publications

References 106 publications

Interventional Electrophysiology in Patients With Congenital Heart Disease

Interventional Electrophysiology in Patients With Congenital Heart Disease

Prophylactic arrhythmia surgery in association with congenital heart disease

Late reoperations for Fontan patients: state of the art invited review

Contact Info

Product

Resources

About