This review discusses the challenges and ongoing developments in radiofrequency catheter ablation for intraatrial reentrant tachycardia following congenital heart disease surgery.
Highlights evolving ablation options for post-CHD IART; leaves open standardized protocols pending prospective data.
Intraatrial reentry tachycardia is a common cause of both morbidity and mortality after surgery for a variety of congenital heart defects. Despite an armamentarium of arrhythmia management tools, including drug therapy, antibradycardia, and antitachycardia pacing, and catheter ablation, management of these arrhythmias remains a challenge. This report briefly reviews the problem, assesses the current successes and failures of radiofrequency catheter ablation for treating it, and discusses a number of ongoing developments that may improve both early and late outcome.
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SAUL et al. (1997) studied this question.
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