ARRHYTHMIA RECURRENCE IN ADULT PATIENTS WITH SINGLE VENTRICLE PHYSIOLOGY FOLLOWING SURGICAL FONTAN CONVERSION
| Autor: | Ryan J. Williams, Brian Reemtsen, Mark D. Plunkett, Hillel Laks, Pamela D. Miner, Kalyanam Shivkumar, Jamil Aboulhosn, John S. Child, Kevin M. Shannon, Rakhi Shah Barkowski |
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| Rok vydání: | 2010 |
| Předmět: |
congenital
hereditary and neonatal diseases and abnormalities medicine.medical_specialty Cirrhosis Adult patients business.industry medicine.medical_treatment Catheter ablation Single Center medicine.disease Surgery medicine.anatomical_structure Single ventricle physiology Internal medicine cardiovascular system Cardiology Medicine Effective treatment In patient cardiovascular diseases business Cardiology and Cardiovascular Medicine Artery |
| Zdroj: | Journal of the American College of Cardiology. 55(10) |
| ISSN: | 0735-1097 |
| DOI: | 10.1016/s0735-1097(10)60376-2 |
| Popis: | Objectives. To evaluate the incidence of atrial tachy-arrhythmia (AT) recurrence following conversion from right atrial-pulmonary artery (RA-PA) Fontan to total cavopulmonary connection (TCPC) in adults. Background. AT is a recognized sequel of Fontan palliation, especially in RA-PA Fontans, and is associated with significant morbidity. While catheter ablation achieves fairly reliable short-term success with low morbidity, conversion to TCPC with arrhythmia surgery is a highly effective treatment option for the classical Fontan patients with incessant AT. Methods. Single center retrospective review. Results. Twenty-seven adults underwent Fontan conversion from RA-PA to TCPC, mostly for AT indications (n = 24). Nine (33%) underwent conversion to a lateral tunnel (LT) and 18 (67%) to an extracardiac (EC) Fontan. Two patients died 3 months following conversion. Conclusions. Conversion from RA-PA Fontan to TCPC, with arrhythmia surgery, decreases AT recurrence and improves functional capacity. The risk of peri-operative mortality is highest in patients with cirrhosis. AT recurred in 14% of patients. |
| Databáze: | OpenAIRE |
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