Catheter ablation, aided by modern 3D navigation systems, has emerged as a successful therapeutic option for managing complex arrhythmias in adults with congenital heart disease.
Answers are grounded in this paper and cite their sources.
May inform arrhythmia management in adults with congenital heart disease; leaves open need for randomized trials to guide practice.
Arrhythmias in adults with congenital heart disease, most commonly related to previous surgical procedures, are a frequent comorbidity in this growing population thanks to the improved outcome of surgical techniques. Re-entrant circuits around areas of scarring and natural barriers, combined with abnormal haemodynamics and the underlying anatomy, are the most common cause for these arrhythmias. They are often poorly tolerated and medical treatment is frequently inadequate. In recent years, catheter ablation has emerged as a successful therapeutic option. New advanced techniques such as the use of modern three-dimensional (3D) navigation systems have contributed to better understanding of the arrhythmia mechanisms and higher success rates of the ablation procedures. In this article we briefly summarise the characteristics of the most common arrhythmias in this patient population and some key aspects in their treatment by catheter ablation.
No takes yet. Share an insight, caveat, or question.
Lobo et al. (2011) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: