Arrhythmia Surgery in Patients With and Without Congenital Heart Disease

摘要: Background Arrhythmia surgery has favorably impacted the clinical course of debilitating atrial and ventricular arrhythmias in patients with without congenital heart disease. This study reviews arrhythmia mechanisms documents long-term outcome undergoing operations alone or associated repairs. The analysis excludes Fontan conversion patients. Methods Between 1987 2007, were done 11 disease 89 along Mean age was 15.9 ± 12.5 years (range, 7 days–48 years); infants (mean age, 23 16 days). Resternotomy performed 65 (65%). Two functional ventricles present 67 patients; 33 had 1 ventricle. Arrhythmias included macro-reentrant tachycardia 45, fibrillation 11, accessory connections 19, atrioventricular nodal reentry 6, focal 13. Results Operative mortality 3 (3.0%) due to advanced There 4 late deaths (4.0%) 2 cardiac transplants (2.0%). Freedom from recurrence at 10 94% 85% for arrhythmias, 68% respectively. Conclusions Successful surgical therapy can be safely a high freedom rate Surgical ablation is less predictive. Complexity underlying hemodynamic status may contribute potential new onset manifestation.