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Fontan手术后的晚期心律失常。

Late arrhythmias following fontan surgery.

作者信息

Deal Barbara J

机构信息

Division of Cardiology, Children's Memorial Hospital and Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

出版信息

World J Pediatr Congenit Heart Surg. 2012 Apr 1;3(2):194-200. doi: 10.1177/2150135111436314.

DOI:10.1177/2150135111436314
PMID:23804774
Abstract

The incidence of atrial arrhythmias following Fontan repairs varies by the type of surgery and duration of follow-up. The incidence of late atrial tachycardia has been reduced from 60% to less than 20% by surgical modifications. Late ventricular tachycardia is reported in 3% to 12% of patients. Aggressive efforts to eliminate tachycardia and improve hemodynamics may improve clinical status.

摘要

Fontan修复术后房性心律失常的发生率因手术类型和随访时间而异。通过手术改良,晚期房性心动过速的发生率已从60%降至20%以下。据报道,3%至12%的患者会出现晚期室性心动过速。积极努力消除心动过速并改善血流动力学可能会改善临床状况。

相似文献

1
Late arrhythmias following fontan surgery.Fontan手术后的晚期心律失常。
World J Pediatr Congenit Heart Surg. 2012 Apr 1;3(2):194-200. doi: 10.1177/2150135111436314.
2
Arrhythmia surgery in patients with and without congenital heart disease.先天性心脏病患者和非先天性心脏病患者的心律失常手术
Ann Thorac Surg. 2008 Sep;86(3):857-68; discussion 857-68. doi: 10.1016/j.athoracsur.2008.04.087.
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Arrhythmia surgery in association with complex congenital heart repairs excluding patients with fontan conversion.心律失常手术联合复杂先天性心脏病修复术,但不包括接受Fontan转换术的患者。
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2003;6:33-50. doi: 10.1053/pcsu.2003.50019.
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J. Maxwell Chamberlain Memorial Paper for congenital heart surgery. 111 Fontan conversions with arrhythmia surgery: surgical lessons and outcomes.先天性心脏手术的J. 麦克斯韦·张伯伦纪念论文。111例Fontan转换术合并心律失常手术:手术经验与结果
Ann Thorac Surg. 2007 Nov;84(5):1457-65; discussion 1465-6. doi: 10.1016/j.athoracsur.2007.06.079.
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Surgery for arrhythmias in children.儿童心律失常的外科治疗。
Int J Cardiol. 2004 Dec;97 Suppl 1:39-51. doi: 10.1016/j.ijcard.2004.08.008.
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Surgical therapy of arrhythmias in single-ventricle patients undergoing Fontan or Fontan conversion.接受Fontan手术或Fontan转换术的单心室患者心律失常的外科治疗
J Card Surg. 2009 Nov-Dec;24(6):738-41. doi: 10.1111/j.1540-8191.2009.00914.x.
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Evolving electroanatomic substrate and intra-atrial reentrant tachycardia late after Fontan surgery.Fontan 手术后晚期演变的电解剖基质和房内折返性心动过速。
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Fontan conversion with concomitant arrhythmia surgery for the failing atriopulmonary connections: mid-term results from a single centre.针对功能衰竭的心房肺连接进行Fontan转换并同期进行心律失常手术:单中心中期结果
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Kardiol Pol. 2006 Dec;64(12):1343-8; discussion 1349.

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