New directions in surgical therapy of arrhythmias

B. J. Deal, C. Mavroudis, C. L. Backer, C. L. Johnsrude

Research output: Contribution to journalArticle

Abstract

The success of the radiofrequency catheter ablation procedure for most types of supraventricular and ventricular tachycardia, particularly in young patients, largely eliminated the role of surgical therapy of arrhythmias. However, there remains a subset of arrhythmia patients in whom the catheter approach has not been successful and types of arrhythmias with high recurrence rates following initially successful catheter ablation procedures where surgery can provide more definitive therapy. In addition, the concepts of ablation therapy can be successfully incorporated into the concomitant repair of complex congenital heart disease, resulting in singlestage therapy for structural and rhythm abnormalities. Prospectively, knowledge of the role of anatomic barriers as substrates for future reentrant arrhythmia circuits provides the opportunity to alter these circuits prophylactically at the time of initial surgical repair of congenital heart disease in an attempt to avoid the late development of tachycardia. This article describes our experience during the past decade with 71 patients undergoing arrhythmia surgery using this approach.

Original languageEnglish (US)
Pages (from-to)576-583
Number of pages8
JournalPediatric Cardiology
Volume21
Issue number6
DOIs
StatePublished - Nov 13 2000
Externally publishedYes

Keywords

  • Arrhythmia surgery
  • Congenital heart disease surgery
  • Maze procedure
  • Supraventricular tachycardia

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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