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Lobo RG, Griffith M, De Bono J. Ablation of Arrhythmias in Patients with Adult Congenital Heart Disease. Arrhythm Electrophysiol Rev. 2014;3(1):36-9doi: 10.15420/aer.2011.3.1.36.
Lobo, R. G., Griffith, M., & De Bono, J. (2014). Ablation of Arrhythmias in Patients with Adult Congenital Heart Disease. Arrhythmia & electrophysiology review, 3(1), 36-9. https://doi.org/10.15420/aer.2011.3.1.36
Lobo, Rodrigo Gallardo, et al. "Ablation of Arrhythmias in Patients with Adult Congenital Heart Disease." Arrhythmia & electrophysiology review vol. 3,1 (2014): 36-9. doi: https://doi.org/10.15420/aer.2011.3.1.36
Lobo RG, Griffith M, De Bono J. Ablation of Arrhythmias in Patients with Adult Congenital Heart Disease. Arrhythm Electrophysiol Rev. 2014 May;3(1):36-9. doi: 10.15420/aer.2011.3.1.36. Epub 2014 May 18. PMID: 26835063; PMCID: PMC4711531.
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Arrhythm Electrophysiol Rev. 2014 May;3(1):36-9. doi: 10.15420/aer.2011.3.1.36. Epub 2014 May 18.

Ablation of Arrhythmias in Patients with Adult Congenital Heart Disease.

Arrhythmia & electrophysiology review

Rodrigo Gallardo Lobo, Michael Griffith, Joseph De Bono

Affiliations

  1. Senior Fellow in Electrophysiology.
  2. Consultant Cardiologist, Queen Elizabeth Hospital, Birmingham, UK.

PMID: 26835063 PMCID: PMC4711531 DOI: 10.15420/aer.2011.3.1.36

Abstract

Arrhythmias in adults with congenital heart disease, most commonly related to previous surgical procedures, are a frequent comorbidity in this growing population thanks to the improved outcome of surgical techniques. Re-entrant circuits around areas of scarring and natural barriers, combined with abnormal haemodynamics and the underlying anatomy, are the most common cause for these arrhythmias. They are often poorly tolerated and medical treatment is frequently inadequate. In recent years, catheter ablation has emerged as a successful therapeutic option. New advanced techniques such as the use of modern three-dimensional (3D) navigation systems have contributed to better understanding of the arrhythmia mechanisms and higher success rates of the ablation procedures. In this article we briefly summarise the characteristics of the most common arrhythmias in this patient population and some key aspects in their treatment by catheter ablation.

Keywords: Congenital heart disease; Ebstein; Fallot; Fontan; Mustard; Senning; catheter ablation

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