Surgical therapy of arrhythmias and conductive disorders

Constantine Mavroudis*, Barbara Deal, Carl L Backer

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Arrhythmia surgery has evolved from an isolated procedure for refractory arrhythmia to incorporation into the repair of concurrent hemodynamic problems. Recognition of the increasing incidence of arrhythmias following repair of congenital heart disease and the need for reoperations to improve hemodynamics has led to a combined electrical-hemodynamic approach to congenital heart surgery. Knowledge of the specific arrhythmia mechanisms, anatomic variants posed by congenital lesions, and the basics of arrhythmia surgical techniques available for therapy will lead to routine incorporation of this strategy into surgery for congenital heart disease. Improvements in device technology have led to more widespread application of pacing and device therapies at younger ages. The next phase of arrhythmia surgery will be the incorporation of prophylactic antiarrhythmia strategies into the initial repairs of complex congenital heart disease.

Original languageEnglish (US)
Title of host publicationPediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care
EditorsE daCruz
Place of PublicationLondon
PublisherSpringer-Verlag London Ltd
Pages3089-3105
Number of pages17
ISBN (Electronic)9781447146193
ISBN (Print)9781447146186
DOIs
StatePublished - Jan 1 2014

Keywords

  • Ablation
  • Anatomic variants
  • Atrial fibrillation
  • Congenital lesions
  • Endocardial resection
  • Hemodynamics
  • Maze procedure
  • Pacemaker
  • Tachycardia

ASJC Scopus subject areas

  • Medicine(all)

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