Advantages and disadvantages of one-stage and two-stage surgery for arrhythmias and Ebstein's anomaly
Identifieur interne : 001384 ( Main/Exploration ); précédent : 001383; suivant : 001385Advantages and disadvantages of one-stage and two-stage surgery for arrhythmias and Ebstein's anomaly
Auteurs : Leo Bockeria [Russie] ; Elena Golukhova [Russie] ; Madina Dadasheva [Russie] ; Amiran Revishvili [Russie] ; Alexander Levant [Russie] ; Viacheslav Bazaev [Russie] ; Farkhat Rzaev [Russie] ; Tea Kakuchaya [Russie]Source :
- European Journal of Cardio-Thoracic Surgery [ 1010-7940 ] ; 2005-10.
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Abstract
Objective: To evaluate efficacy of one-step and two-step surgery approach in patients with arrhythmias combined with Ebstein's anomaly. Methods: Fifty-three patients with Ebstein's anomaly combined with tachyarrhythmias (58.5% men, 41.5% women, mean age 21.6±10.7 years) were operated on. In group A (32 patients), one-step surgical correction (simultaneous intraoperative elimination of arrhythmias and congenital heart defect repair) was performed, whereas in group B (21 patients), two-step surgery was performed with initial elimination of arrhythmogenic substrate by transcatheter radiofrequency ablation (first step) and following surgical repair of congenital heart defect (second step). Results: In group A, total hospital mortality was 3.1% (1 patient) due to initial severe condition of this patient. One-step surgery was effective in 93.5% of cases. Mortality was not observed in group B. Efficacy of transcatheter radiofrequency ablation was 76.2%. Conclusions: one-stage and two-stage surgery of arrhythmias and Ebstein's anomaly are highly effective. First step of surgery of combined pathology reduces cardiopulmonary bypass time, complications and mortality while performing the second step of congenital heart defect surgery. However, simultaneous approach (one-step surgery) is better in terms of arrhythmia elimination.
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DOI: 10.1016/j.ejcts.2005.04.047
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central</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">European Journal of Cardio-Thoracic Surgery</title><title level="j" type="abbrev">Eur J Cardiothorac Surg</title><idno type="ISSN">1010-7940</idno><idno type="eISSN">1873-734X</idno><imprint><publisher>Elsevier Science B.V.</publisher><date type="published" when="2005-10">2005-10</date><biblScope unit="volume">28</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="536">536</biblScope><biblScope unit="page" to="540">540</biblScope></imprint><idno type="ISSN">1010-7940</idno></series><idno type="istex">1C70F8F120564347BC58469D4B867700299D99FE</idno><idno type="DOI">10.1016/j.ejcts.2005.04.047</idno><idno type="PII">S1010794005005270</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1010-7940</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arrhythmias</term><term>Congenital heart defect</term><term>Ebstein's anomaly</term><term>Open heart surgery</term><term>Radiofrequency ablation</term><term>Wolff–Parkinson–White syndrome</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Objective: To evaluate efficacy of one-step and two-step surgery approach in patients with arrhythmias combined with Ebstein's anomaly. Methods: Fifty-three patients with Ebstein's anomaly combined with tachyarrhythmias (58.5% men, 41.5% women, mean age 21.6±10.7 years) were operated on. In group A (32 patients), one-step surgical correction (simultaneous intraoperative elimination of arrhythmias and congenital heart defect repair) was performed, whereas in group B (21 patients), two-step surgery was performed with initial elimination of arrhythmogenic substrate by transcatheter radiofrequency ablation (first step) and following surgical repair of congenital heart defect (second step). Results: In group A, total hospital mortality was 3.1% (1 patient) due to initial severe condition of this patient. One-step surgery was effective in 93.5% of cases. Mortality was not observed in group B. Efficacy of transcatheter radiofrequency ablation was 76.2%. Conclusions: one-stage and two-stage surgery of arrhythmias and Ebstein's anomaly are highly effective. First step of surgery of combined pathology reduces cardiopulmonary bypass time, complications and mortality while performing the second step of congenital heart defect surgery. However, simultaneous approach (one-step surgery) is better in terms of arrhythmia elimination.</div></front></TEI><affiliations><list><country><li>Russie</li></country><region><li>District fédéral central</li></region><settlement><li>Moscou</li></settlement></list><tree><country name="Russie"><region name="District fédéral central"><name sortKey="Bockeria, Leo" sort="Bockeria, Leo" uniqKey="Bockeria L" first="Leo" last="Bockeria">Leo Bockeria</name></region><name sortKey="Bazaev, Viacheslav" sort="Bazaev, Viacheslav" uniqKey="Bazaev V" first="Viacheslav" last="Bazaev">Viacheslav Bazaev</name><name sortKey="Bockeria, Leo" sort="Bockeria, Leo" uniqKey="Bockeria L" first="Leo" last="Bockeria">Leo Bockeria</name><name sortKey="Dadasheva, Madina" sort="Dadasheva, Madina" uniqKey="Dadasheva M" first="Madina" last="Dadasheva">Madina Dadasheva</name><name sortKey="Dadasheva, Madina" sort="Dadasheva, Madina" uniqKey="Dadasheva M" first="Madina" last="Dadasheva">Madina Dadasheva</name><name sortKey="Golukhova, Elena" sort="Golukhova, Elena" uniqKey="Golukhova E" first="Elena" last="Golukhova">Elena Golukhova</name><name sortKey="Kakuchaya, Tea" sort="Kakuchaya, Tea" uniqKey="Kakuchaya T" first="Tea" last="Kakuchaya">Tea Kakuchaya</name><name sortKey="Levant, Alexander" sort="Levant, Alexander" uniqKey="Levant A" first="Alexander" last="Levant">Alexander Levant</name><name sortKey="Revishvili, Amiran" sort="Revishvili, Amiran" uniqKey="Revishvili A" first="Amiran" last="Revishvili">Amiran Revishvili</name><name sortKey="Rzaev, Farkhat" sort="Rzaev, Farkhat" uniqKey="Rzaev F" first="Farkhat" last="Rzaev">Farkhat Rzaev</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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