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Arrhythmia management in patients with a common arterial trunk and d-transposition of the great arteries*

Published online by Cambridge University Press:  18 January 2013

Jamie A. Decker ,
Jorge McCormack  and
Mitchell I. Cohen
Jamie A. Decker*
Affiliation:
Division of Pediatric Cardiology, All Children's Heart Institute, Saint Petersburg, Florida, United States of America
Jorge McCormack
Affiliation:
Pediatric Cardiology Associates/Pediatrix Medical Group, All Children's Hospital, Saint Petersburg, Florida, United States of America
Mitchell I. Cohen
Affiliation:
Arizona Pediatric Cardiology Consultants, Phoenix Children's Hospital, Phoenix, Arizona, United States of America
*
Correspondence to: Dr J. A. Decker, MD, Division of Pediatric Cardiology, All Children's Heart Institute, 601 5th Street South, Saint Petersburg, Florida, United States of America. Tel: 727 767 3333; Fax: 727 767 8900; E-mail: [email protected]
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Abstract

Arrhythmias in patients with congenital heart disease present a challenge to the care of these patients and can result in significant morbidity and mortality. Transposition of the great arteries and common arterial trunk are no exceptions. It is important to identify risk factors for arrhythmia development in the peri-operative period. The peri-operative arrhythmia burden may relate to the underlying congenital heart disease, haemodynamic perturbations, operative events, and potential residual lesions. In addition, these patients are at risk for developing arrhythmias later in life, and non-invasive and potentially invasive arrhythmia surveillance should be a routine part of the care of these patients. This article highlights important strategies to manage arrhythmia development and prevention in this patient population.

Keywords

Arrhythmiascongenital heart diseasecommon arterial trunkd-transposition of the great arteries
Type
Original Article
Information
Cardiology in the Young , Volume 22 , Issue 6: A Lifelong Interdisciplinary Approach to Common Arterial Trunk, Transposition of the Great Arteries, and Other Evolving Challenges in Paediatric and Congenital Cardiac Disease , December 2012 , pp. 748 - 754
Copyright
Copyright © Cambridge University Press 2012

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Footnotes

*

Presented at: 12th Annual International Symposium on Congenital Heart Disease, February 17–21, 2012, All Children's Hospital, Saint Petersburg, Florida, United States of America.

References

1. Texter, KM, Kertesz, NJ, Friedman, RA, Fenrich, AL. Atrial flutter in infants. J Am Coll Cardiol 2006; 48: 1040–1046.CrossRefGoogle ScholarPubMed
2. Trippel, DL, Wiest, DB, Gillette, PC. Cardiovascular and antiarrhythmic effects of esmolol in children. J Pediatr 1991; 119: 142–147.Google Scholar
3. Shamszad, P, Cabrera, AG, Kim, JJ, et al. Perioperative atrial tachycardia is associated with increased mortality in infants undergoing cardiac surgery. J Thorac Cardiovasc Surg 2012; 144: 396–401.CrossRefGoogle ScholarPubMed
4. Perry, JC, Fenrich, AL, Hulse, JE, Triedman, JK, Friedman, RA, Lamberti, JJ. Pediatric use of intravenous amiodarone: efficacy and safety in critically ill patients from a multicenter protocol. J Am Coll Cardiol 1996; 27: 1246–1250.Google Scholar
5. Hoffman, TM, Bush, DM, Wernovsly, G, et al. Postoperative junctional ectopic tachycardia: incidence, risk factors, and treatment. Ann Thorac Surg 2002; 74: 1607–1611.CrossRefGoogle ScholarPubMed
6. Madapati, R, Byrum, CJ, Kavey, RE, et al. Procainamide for rate control of postsurgical junctional tachycardia. Pediatr Cardiol 2000; 21: 123–128.Google Scholar
7. Chrysstomou, C, Beerman, L, Shiderly, D, et al. Dexmedetomidine: a novel drug for the treatment of atrial and junctional tachyarrhythmias during the perioperative period for congenital cardiac surgery: a preliminary study. Anesth Analg 2008; 107: 1514–1522.CrossRefGoogle Scholar
8. Epstein, AE, DiMarco, JP, Ellenbogen, KA, et al. ACC/AHA/HRS 2008 Guidelines for device-based therapy of cardiac rhythm abnormalities: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2008; 51: e1–e62.CrossRefGoogle Scholar
9. Perry, JC, Garson, A Jr. Supraventricular tachycardia due to Wolff–Parkinson–White syndrome in children: early disappearance and late recurrence. J Am Coll Cardiol 1990; 16: 1215–1220.Google Scholar
10. Oeschlin, EN, Harrison, DA, Connelly, MS, Webb, GD, Siu, SC. Mode of death in adults with congenital heart disease. Am J Cardiol 2000; 86: 1111–1116.Google Scholar
11. Yap, S, Harris, L, Chauhan, VS, et al. Identifying high risk in adults with congenital heart disease and atrial arrhythmias. Am J Cardiol 2011; 108: 723–728.Google Scholar
12. Tlaskal, T, Chaloupecky, V, Hucin, B, et al. Long-term results after correction of persistent truncus arteriosus in 83 patients. Eur J Cardiothorac Surg 2010; 37: 1278–1284.CrossRefGoogle ScholarPubMed
13. Rajasinghe, HA, McElhinney, DB, Reddy, VM, Mora, BN, Hanley, FL. Long-term follow-up of truncus arteriosus repaired in infancy: a twenty year experience. J Thorac Cardiovasc Surg 1997; 113: 869–878.CrossRefGoogle ScholarPubMed
14. Mair, DD, Sim, EK, Danielson, GK, Puga, FJ. Long-term follow-up of surgically corrected patients with common arterial trunk. Prog Pediatr Cardiol 2002; 15: 65–71.CrossRefGoogle Scholar
15. Rhodes, LA, Wernovsky, G, Keane, JF, et al. Arrhythmias and intracardiac conduction after the arterial switch operation. J Thorac Cardiovasc Surg 1995; 109: 303–310.CrossRefGoogle ScholarPubMed
16. Kannankeril, PJ, Fish, FA. Management of intra-atrial reentrant tachycardia. Curr Opin Cardiol 2005; 20: 89–93.Google Scholar
17. Pasquali, SK, Marino, BS, McBride, MG, Wernovsky, G, Paridon, SM. Coronary artery pattern and age impact exercise performance late after the arterial switch operation. J Thorac Cardiovasc Surg 2007; 134: 1207–1212.Google Scholar
18. Mahle, WT, McBride, MG, Paridon, SM. Exercise performance after the arterial switch operation for d-transposition of the great arteries. Am J Cardiol 2001; 87: 753–758.Google Scholar
19. Giardini, A, Khambadkone, S, Rizzo, N, et al. Determinants of exercise capacity after arterial switch operation for transposition of the great arteries. Am J Cardiol 2009; 104: 1007–1012.Google Scholar
20. Hui, L, Chau, AK, Leung, MP, Chiu, CS, Cheung, YF. Assessment of left ventricular function long term after arterial switch operation for transposition of the great arteries by dobutamine stress echocardiography. Heart 2005; 91: 68–72.CrossRefGoogle ScholarPubMed
21. Khairy, P, Landzberg, MJ, Gatzoulis, MA, et al. Value of programmed ventricular stimulation after tetralogy of Fallot repair: a multicenter study. Circulation 2004; 109: 1994–2000.Google Scholar
22. Giamberti, A, Chessa, M, Abella, R, et al. Surgical treatment of arrhythmias in adults with congenital heart defects. Int J Cardiol 2008; 129: 37–41.CrossRefGoogle ScholarPubMed