Houck Charlotte A, Teuwen Christophe P, Bogers Ad J J C, de Groot Natasja M S
Department of Cardiology.
Department of Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.
Heart Rhythm. 2016 Aug;13(8):1731-8. doi: 10.1016/j.hrthm.2016.03.046. Epub 2016 Mar 24.
The arterial switch operation has been the procedure of first choice for correction of transposition of the great arteries (TGA) for several decades now. However, a large number of adult patients with TGA nowadays were palliated previously by either a Mustard or a Senning procedure. Atrial tachyarrhythmias (ATs) are frequently observed during long-term follow-up of patients with TGA after these atrial switch corrections and are associated with both morbidity and mortality. Because of the complex postoperative anatomy in these patients, ablative therapy for these tachyarrhythmias can be challenging. The goals of this review are to discuss the most prevalent ATs in patients after the Mustard or Senning procedure and to summarize (long-term) outcomes of ablative therapy. In addition, recent developments in ablative therapy for ATs in this patient population are outlined.
几十年来，动脉调转手术一直是矫正大动脉转位（TGA）的首选术式。然而，如今大量患有TGA的成年患者此前接受过马斯塔德（Mustard）或森宁（Senning）手术进行姑息治疗。在这些心房调转矫正术后的TGA患者长期随访期间，经常观察到房性快速性心律失常（ATs），且其与发病率和死亡率均相关。由于这些患者术后解剖结构复杂，针对这些快速性心律失常的消融治疗具有挑战性。本综述的目的是讨论接受马斯塔德或森宁手术后患者中最常见的ATs，并总结消融治疗的（长期）结果。此外，还概述了该患者群体中ATs消融治疗的最新进展。
