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Titolo:
New directions in surgical therapy of arrhythmias
Autore:
Deal, BJ; Mavroudis, C; Backer, CL; Johnsrude, CL;
Indirizzi:
Childrens Mem Hosp, Div Cardiol, Chicago, IL 60614 USA Childrens Mem HospChicago IL USA 60614 iv Cardiol, Chicago, IL 60614 USA
Titolo Testata:
PEDIATRIC CARDIOLOGY
fascicolo: 6, volume: 21, anno: 2000,
pagine: 576 - 583
SICI:
0172-0643(200011/12)21:6<576:NDISTO>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
RADIOFREQUENCY CATHETER ABLATION; CONGENITAL HEART-DISEASE; PARKINSON-WHITE SYNDROME; INTRAATRIAL REENTRANT TACHYCARDIA; ACCESSORY ATRIOVENTRICULAR PATHWAYS; TUNNEL CAVOPULMONARY ANASTOMOSIS; ECTOPIC ATRIAL TACHYCARDIA; MODIFIED FONTAN PROCEDURE; SUPRAVENTRICULAR TACHYCARDIA; MAZE PROCEDURE;
Keywords:
arrhythmia surgery; maze procedure; congenital heart disease surgery; supraventricular tachycardia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
88
Recensione:
Indirizzi per estratti:
Indirizzo: Deal, BJ Childrens Mem Hosp, Div Cardiol, 2300 Childrens Plaza,Box 21, Chicago, IL 60614 USA Childrens Mem Hosp 2300 Childrens Plaza,Box 21 Chicago IL USA 60614
Citazione:
B.J. Deal et al., "New directions in surgical therapy of arrhythmias", PEDIAT CARD, 21(6), 2000, pp. 576-583

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 single-stage therapy for structural and rhythm abnormalities. Prospectively, knowledge of the roleof 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.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 02:35:52