Deal Barbara J
Division of Cardiology, Children's Memorial Hospital and Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
World J Pediatr Congenit Heart Surg. 2012 Apr 1;3(2):194-200. doi: 10.1177/2150135111436314.
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.
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。