Preliminary analysis of arrhythmias after the Fontan operation with extracardiac conduit compared with intra-atrial lateral tunnel

被引:30
|
作者
Ovroutski, S
Dähnert, I
Alexi-Meskishvili, V
Nürnberg, JH
Hetzer, R
Lange, PE
机构
[1] Deutsch Herzzentrum Berlin, Dept Congenital Heart Dis, D-13533 Berlin, Germany
[2] Deutsch Herzzentrum Berlin, Dept Cardiovasc & Thorac Surg, D-13533 Berlin, Germany
来源
THORACIC AND CARDIOVASCULAR SURGEON | 2001年 / 49卷 / 06期
关键词
arrhythmias; Fontan operation; extracardiac; lateral tunnel;
D O I
10.1055/s-2001-19009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: It is to be expected that avoidance of the atrial suture line during extracardiac Fontan operation (ECFO) decreases the risk of postoperative arrhythmias. Methods: Two groups of consecutive patients (23 with lateral tunnel (LTFO) and 24 with extracardiac conduit) who underwent successful Fontan operations between 5/93 and 10/98 were comparatively analyzed. All patients had postoperatively standard ECG and 24-hour monitoring. During follow-up, all patients had 2 - 8 (mean 3) standard ECG recordings per year and 76% of the patients a 24-hour Holter ECG once a year. Results: Median follow-up after ECFO and LTFO was 2.4 years and 4.5 years, respectively. The incidence of supraventricular tachyarrhythmias and bradyarrhythmias after ECFO versus LTFO was lower early after operation and during follow-up (p < 0.05). in follow-up, 20 ECFO patients (91%) versus 11 patients after LTFO (52%) remained in sinus rhythm (p<0.01). Pacemaker insertion was required in 7 (33%) LTFO patients but none of the ECFO patients (p < 0.01). Conclusions: The extracardiac Fontan operation decreases the incidence of early and medium-term postoperative arrhythmias. Comparative long-term results are not yet available.
引用
收藏
页码:334 / 337
页数:4
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