ParkinsonFranceV1, PascalFrancis, Corpus, bibRecord, 001228

Cardiac arrhythmia in patients undergoing surgical repair of Ebstein's anomaly

Identifieur interne : 001228 ( PascalFrancis/Corpus ); précédent : 001227; suivant : 001229

Cardiac arrhythmia in patients undergoing surgical repair of Ebstein's anomaly

Auteurs : Sylvain M. Chauvaud ; Gianluca Brancaccio ; Alain F. Carpentier

Source :

The Annals of thoracic surgery [ 0003-4975 ] ; 2001.

RBID : Pascal:01-0286478

Descripteurs français

Pascal (Inist)
- Malformation tricuspide Ebstein, Homme, Chirurgie, Trouble rythme cardiaque, Complication, Physiopathologie, Traitement, Efficacité traitement, Technique, Pronostic, Mortalité, Morbidité, Evolution, Valvule tricuspide.

English descriptors

KwdEn :
- Arrhythmia, Complication, Ebstein anomaly of the tricuspid valve, Evolution, Human, Morbidity, Mortality, Pathophysiology, Prognosis, Surgery, Technique, Treatment, Treatment efficiency, Tricuspid valve.

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A02	`01`			`@0 ATHSAK`
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A05				`@2 71`
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A08	`01`	`1`	`ENG`	`@1 Cardiac arrhythmia in patients undergoing surgical repair of Ebstein's anomaly`
A11	`01`	`1`		`@1 CHAUVAUD (Sylvain M.)`
A11	`02`	`1`		`@1 BRANCACCIO (Gianluca)`
A11	`03`	`1`		`@1 CARPENTIER (Alain F.)`
A14	`01`			`@1 Department of Cardiovascular Surgery, Hopital Européen Georges Pompidou @2 Paris @3 FRA @Z 1 aut. @Z 2 aut. @Z 3 aut.`
A20				`@1 1547-1552`
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C01	`01`		`ENG`	@0 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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C03	`02`	`X`	`ENG`	`@0 Human @5 02`
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C07	`02`	`X`	`ENG`	`@0 Cardiac valvular disease @5 38`
C07	`02`	`X`	`SPA`	`@0 Cardiopatía valvular @5 38`
C07	`03`	`X`	`FRE`	`@0 Maladie congénitale @5 39`
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N21				`@1 197`

Format Inist (serveur)

NO :	PASCAL 01-0286478 INIST
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:01-0286478

Le document en format XML

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<term>Complication</term>
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<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>
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<keywords scheme="Pascal" xml:lang="fr"><term>Malformation tricuspide Ebstein</term>
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<term>Complication</term>
<term>Physiopathologie</term>
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<term>Efficacité traitement</term>
<term>Technique</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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<fC01 i1="01" l="ENG"><s0>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.</s0>
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<s5>25</s5>
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<s5>39</s5>
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<s5>46</s5>
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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>
<LO>INIST-13779.354000098281960250</LO>
<ID>01-0286478</ID>
</server>
</inist>
</record>

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Cardiac arrhythmia in patients undergoing surgical repair of Ebstein's anomaly

Cardiac arrhythmia in patients undergoing surgical repair of Ebstein's anomaly

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