Cardiac arrhythmia in patients undergoing surgical repair of Ebstein's anomaly
Identifieur interne : 001228 ( PascalFrancis/Corpus ); précédent : 001227; suivant : 001229Cardiac arrhythmia in patients undergoing surgical repair of Ebstein's anomaly
Auteurs : Sylvain M. Chauvaud ; Gianluca Brancaccio ; Alain F. CarpentierSource :
- The Annals of thoracic surgery [ 0003-4975 ] ; 2001.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Background. Arrhythmias remain an unsolved problem in Ebstein's anomaly. The aim of this study was to investigate the evolution of arrhythmias after surgical repair. Methods. Forty-five patients with Ebstein's anomaly and arrhythmias were studied. Mean age was 33 ± 15 years. Twenty-four patients (53%) had paroxysmal supraventricular tachycardia, 12 (27%) had atrial fibrillation or flutter, 8 (18%) had ventricular preexcitation (Wolff-Parkinson-White syndrome), and 1 (2%) had a nonsustained ventricular tachycardia. Surgical technique included detachment of the tricuspid anterior leaflet and suture on the atrioventricular annulus associated with right ventricular longitudinal plication. Results. There were four hospital deaths (9%). A pacemaker was implanted early after operation in 5 patients (11%). During a mean follow-up of 57 ± 50 months (range, 4 to 226 months), there were six additional deaths, three of which were sudden. Two patients were lost to follow-up. Of the 33 surviving patients, 8 (24%) continued to have symptomatic arrhythmias, and 15 (45%) were in permanent sinus rhythm. Of the 24 patients with preoperative paroxysmal supraventricular tachycardia and the 12 with atrial fibrillation or flutter preoperatively, 9 and 2 of the survivors, respectively, have had no further episodes of arrhythmia. The incidence of arrhythmia with or without symptoms was reduced to 39% (13/33) of the surviving patients. Conclusions. Arrhythmia is not totally abolished after operation. However, patients with Ebstein's anomaly and arrhythmia show substantial improvement after conservative surgical intervention.
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Format Inist (serveur)
NO : | PASCAL 01-0286478 INIST |
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ET : | Cardiac arrhythmia in patients undergoing surgical repair of Ebstein's anomaly |
AU : | CHAUVAUD (Sylvain M.); BRANCACCIO (Gianluca); CARPENTIER (Alain F.) |
AF : | Department of Cardiovascular Surgery, Hopital Européen Georges Pompidou/Paris/France (1 aut., 2 aut., 3 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | The Annals of thoracic surgery; ISSN 0003-4975; Coden ATHSAK; Etats-Unis; Da. 2001; Vol. 71; No. 5; Pp. 1547-1552; Bibl. 22 ref. |
LA : | Anglais |
EA : | Background. Arrhythmias remain an unsolved problem in Ebstein's anomaly. The aim of this study was to investigate the evolution of arrhythmias after surgical repair. Methods. Forty-five patients with Ebstein's anomaly and arrhythmias were studied. Mean age was 33 ± 15 years. Twenty-four patients (53%) had paroxysmal supraventricular tachycardia, 12 (27%) had atrial fibrillation or flutter, 8 (18%) had ventricular preexcitation (Wolff-Parkinson-White syndrome), and 1 (2%) had a nonsustained ventricular tachycardia. Surgical technique included detachment of the tricuspid anterior leaflet and suture on the atrioventricular annulus associated with right ventricular longitudinal plication. Results. There were four hospital deaths (9%). A pacemaker was implanted early after operation in 5 patients (11%). During a mean follow-up of 57 ± 50 months (range, 4 to 226 months), there were six additional deaths, three of which were sudden. Two patients were lost to follow-up. Of the 33 surviving patients, 8 (24%) continued to have symptomatic arrhythmias, and 15 (45%) were in permanent sinus rhythm. Of the 24 patients with preoperative paroxysmal supraventricular tachycardia and the 12 with atrial fibrillation or flutter preoperatively, 9 and 2 of the survivors, respectively, have had no further episodes of arrhythmia. The incidence of arrhythmia with or without symptoms was reduced to 39% (13/33) of the surviving patients. Conclusions. Arrhythmia is not totally abolished after operation. However, patients with Ebstein's anomaly and arrhythmia show substantial improvement after conservative surgical intervention. |
CC : | 002B25E |
FD : | Malformation tricuspide Ebstein; Homme; Chirurgie; Trouble rythme cardiaque; Complication; Physiopathologie; Traitement; Efficacité traitement; Technique; Pronostic; Mortalité; Morbidité; Evolution; Valvule tricuspide |
FG : | Appareil circulatoire pathologie; Cardiopathie valvulaire; Maladie congénitale; Cardiopathie |
ED : | Ebstein anomaly of the tricuspid valve; Human; Surgery; Arrhythmia; Complication; Pathophysiology; Treatment; Treatment efficiency; Technique; Prognosis; Mortality; Morbidity; Evolution; Tricuspid valve |
EG : | Cardiovascular disease; Cardiac valvular disease; Congenital disease; Heart disease |
SD : | Malformación tricuspídea Ebstein; Hombre; Cirugía; Arritmia; Complicación; Fisiopatología; Tratamiento; Eficacia tratamiento; Técnica; Pronóstico; Mortalidad; Morbilidad; Evolución; Válvula tricúspide |
LO : | INIST-13779.354000098281960250 |
ID : | 01-0286478 |
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Pascal:01-0286478Le document en format XML
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<term>Complication</term>
<term>Ebstein anomaly of the tricuspid valve</term>
<term>Evolution</term>
<term>Human</term>
<term>Morbidity</term>
<term>Mortality</term>
<term>Pathophysiology</term>
<term>Prognosis</term>
<term>Surgery</term>
<term>Technique</term>
<term>Treatment</term>
<term>Treatment efficiency</term>
<term>Tricuspid valve</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Malformation tricuspide Ebstein</term>
<term>Homme</term>
<term>Chirurgie</term>
<term>Trouble rythme cardiaque</term>
<term>Complication</term>
<term>Physiopathologie</term>
<term>Traitement</term>
<term>Efficacité traitement</term>
<term>Technique</term>
<term>Pronostic</term>
<term>Mortalité</term>
<term>Morbidité</term>
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<front><div type="abstract" xml:lang="en">Background. Arrhythmias remain an unsolved problem in Ebstein's anomaly. The aim of this study was to investigate the evolution of arrhythmias after surgical repair. Methods. Forty-five patients with Ebstein's anomaly and arrhythmias were studied. Mean age was 33 ± 15 years. Twenty-four patients (53%) had paroxysmal supraventricular tachycardia, 12 (27%) had atrial fibrillation or flutter, 8 (18%) had ventricular preexcitation (Wolff-Parkinson-White syndrome), and 1 (2%) had a nonsustained ventricular tachycardia. Surgical technique included detachment of the tricuspid anterior leaflet and suture on the atrioventricular annulus associated with right ventricular longitudinal plication. Results. There were four hospital deaths (9%). A pacemaker was implanted early after operation in 5 patients (11%). During a mean follow-up of 57 ± 50 months (range, 4 to 226 months), there were six additional deaths, three of which were sudden. Two patients were lost to follow-up. Of the 33 surviving patients, 8 (24%) continued to have symptomatic arrhythmias, and 15 (45%) were in permanent sinus rhythm. Of the 24 patients with preoperative paroxysmal supraventricular tachycardia and the 12 with atrial fibrillation or flutter preoperatively, 9 and 2 of the survivors, respectively, have had no further episodes of arrhythmia. The incidence of arrhythmia with or without symptoms was reduced to 39% (13/33) of the surviving patients. Conclusions. Arrhythmia is not totally abolished after operation. However, patients with Ebstein's anomaly and arrhythmia show substantial improvement after conservative surgical intervention.</div>
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<server><NO>PASCAL 01-0286478 INIST</NO>
<ET>Cardiac arrhythmia in patients undergoing surgical repair of Ebstein's anomaly</ET>
<AU>CHAUVAUD (Sylvain M.); BRANCACCIO (Gianluca); CARPENTIER (Alain F.)</AU>
<AF>Department of Cardiovascular Surgery, Hopital Européen Georges Pompidou/Paris/France (1 aut., 2 aut., 3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>The Annals of thoracic surgery; ISSN 0003-4975; Coden ATHSAK; Etats-Unis; Da. 2001; Vol. 71; No. 5; Pp. 1547-1552; Bibl. 22 ref.</SO>
<LA>Anglais</LA>
<EA>Background. Arrhythmias remain an unsolved problem in Ebstein's anomaly. The aim of this study was to investigate the evolution of arrhythmias after surgical repair. Methods. Forty-five patients with Ebstein's anomaly and arrhythmias were studied. Mean age was 33 ± 15 years. Twenty-four patients (53%) had paroxysmal supraventricular tachycardia, 12 (27%) had atrial fibrillation or flutter, 8 (18%) had ventricular preexcitation (Wolff-Parkinson-White syndrome), and 1 (2%) had a nonsustained ventricular tachycardia. Surgical technique included detachment of the tricuspid anterior leaflet and suture on the atrioventricular annulus associated with right ventricular longitudinal plication. Results. There were four hospital deaths (9%). A pacemaker was implanted early after operation in 5 patients (11%). During a mean follow-up of 57 ± 50 months (range, 4 to 226 months), there were six additional deaths, three of which were sudden. Two patients were lost to follow-up. Of the 33 surviving patients, 8 (24%) continued to have symptomatic arrhythmias, and 15 (45%) were in permanent sinus rhythm. Of the 24 patients with preoperative paroxysmal supraventricular tachycardia and the 12 with atrial fibrillation or flutter preoperatively, 9 and 2 of the survivors, respectively, have had no further episodes of arrhythmia. The incidence of arrhythmia with or without symptoms was reduced to 39% (13/33) of the surviving patients. Conclusions. Arrhythmia is not totally abolished after operation. However, patients with Ebstein's anomaly and arrhythmia show substantial improvement after conservative surgical intervention.</EA>
<CC>002B25E</CC>
<FD>Malformation tricuspide Ebstein; Homme; Chirurgie; Trouble rythme cardiaque; Complication; Physiopathologie; Traitement; Efficacité traitement; Technique; Pronostic; Mortalité; Morbidité; Evolution; Valvule tricuspide</FD>
<FG>Appareil circulatoire pathologie; Cardiopathie valvulaire; Maladie congénitale; Cardiopathie</FG>
<ED>Ebstein anomaly of the tricuspid valve; Human; Surgery; Arrhythmia; Complication; Pathophysiology; Treatment; Treatment efficiency; Technique; Prognosis; Mortality; Morbidity; Evolution; Tricuspid valve</ED>
<EG>Cardiovascular disease; Cardiac valvular disease; Congenital disease; Heart disease</EG>
<SD>Malformación tricuspídea Ebstein; Hombre; Cirugía; Arritmia; Complicación; Fisiopatología; Tratamiento; Eficacia tratamiento; Técnica; Pronóstico; Mortalidad; Morbilidad; Evolución; Válvula tricúspide</SD>
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