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This review outlines resternotomy techniques for safe mediastinal reentry and operative techniques for arrhythmia surgery in patients with congenital heart disease.
This review outlines operative techniques for safe mediastinal reentry and arrhythmia surgery in patients with congenital heart disease.
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May guide reentry and arrhythmia surgery planning in congenital heart disease; leaves open need for prospective outcome validation.
Arrhythmia surgery in patients with congenital disease is challenged by the range of anatomic variants, arrhythmia types, and intramyocardial scar location. Experimental and clinical studies have elucidated the mechanisms of arrhythmias for accessory connections, atrial fibrillation, atrial reentry tachycardia, nodal reentry tachycardia, focal or automatic atrial tachycardia, and ventricular tachycardia. The surgical and transcatheter possibilities are numerous, and the congenital heart surgeon should have a comprehensive understanding of all arrhythmia types and potential methods of ablation. The purpose of this article is to introduce resternotomy techniques for safe mediastinal reentry and to review operative techniques of arrhythmia surgery in association with congenital heart disease.
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Mavroudis et al. (2013) conducted a review in Congenital heart disease with arrhythmias. Operative techniques for arrhythmia surgery and resternotomy was evaluated. This review outlines resternotomy techniques for safe mediastinal reentry and operative techniques for arrhythmia surgery in patients with congenital heart disease.
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