Abstract
The following is an overview of rhythm disturbances noted throughout the stages of surgical reconstruction for hypoplastic left heart syndrome (HLHS). A discussion of arrhythmias associated with HLHS can be divided into those occurring prior to surgical intervention, as well as those associated with each sequential palliation, in that each intervention leads to significant and specific changes in hemodynamics, and introduces new suture lines and incisions into the heart. An alternative approach is to subdivide arrhythmias into those observed in the perioperative period and those that are more chronic in nature. Early arrhythmias are generally those that occur within the first 30 postoperative days, while late arrhythmias are those described thereafter. Factors associated with varying reported rates of arrhythmia occurrence include the specific anatomic variations, timing of diagnosis, degree of illness at the time of diagnosis, surgical technique, and the age at time of surgery.
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Tanel, R.E., Rhodes, L.A. (2003). Arrhythmias After Surgery. In: Rychik, J., Wernovsky, G. (eds) Hypoplastic Left Heart Syndrome. Developments in Cardiovascular Medicine, vol 246. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0253-1_17
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DOI: https://doi.org/10.1007/978-1-4615-0253-1_17
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