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Arrhythmia Surgery and Epicardial Pacemaker Strategies

  • Constantine Mavroudis
  • Joseph A. Dearani
Chapter

Abstract

Concomitant arrhythmia surgery in association with initial or repeat congenital heart repairs in adults has assumed an important role in the treatment of congenital heart disease. The most common long-term complications after congenital heart repairs are arrhythmias and heart failure and can lead to decreased functional class, multiple readmissions to the hospital, and sudden death. Every adult patient who presents for repair of congenital heart disease with concomitant arrhythmias should be approached with an opportunity to treat both entities, as many reports have documented the efficacy and utility of this approach. This chapter is organized by type of arrhythmia, mechanism, and treatment options.

Keywords

Arrhythmia surgery Epicardial pacemaker strategies Atrial reentry tachycardia Focal tachycardia Atrioventricular nodal reentry tachycardia Accessory connection tachycardia Wolff-Parkinson-White Syndrome Atrial fibrillation Ventricular tachycardia Fontan conversion 

Abbreviations

Ao

Aorta

ART

Atrial reentry tachycardia

ASD

Atrial septal defect

AV

Atrioventricular

avn

Atrioventricular node

AVNRT

Atrioventricular nodal reentry tachycardia

CS

Coronary sinus

ECG

Electrocardiogram

FO

Foramen ovale

HV

Hepatic vein

IVC

Inferior vena cava also known as inferior caval vein (ICV)

LA

Left atrium

LAA

Left atrial appendage

LSVC

Left superior vena cava or left superior caval vein

LV

Left ventricle

MV

Mitral valve

ORT

Orthodromic reentry tachycardia

PA

Pulmonary artery

PAC

Premature atrial contraction

PV

Pulmonic vein

RA

Right atrium

RAA

Right atrial appendage

RSVC

Right superior vena cava or right superior caval vein

RV

Right ventricle

SA

Sinoatrial

SVC

Superior vena cava also known as superior caval vein (SCV)

TAPVR

Total anomalous pulmonary venous return

TV

Tricuspid valve

VSD

Ventricular septal defect

WPW

Wolff-Parkinson-White

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Constantine Mavroudis
    • 1
  • Joseph A. Dearani
    • 2
  1. 1.Professor of SurgeryJohns Hopkins University School of Medicine, Johns Hopkins All Children’s HospitalSt. PetersburgUSA
  2. 2.Professor of Surgery, Department of Cardiac SurgeryMayo ClinicRochesterUSA

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