Advantages and disadvantages of one-stage and two-stage surgery for arrhythmias and Ebstein's anomaly.
نویسندگان
چکیده
OBJECTIVE To evaluate efficacy of one-step and two-step surgery approach in patients with arrhythmias combined with Ebstein's anomaly. METHODS Fifty-three patients with Ebstein's anomaly combined with tachyarrhythmias (58.5% men, 41.5% women, mean age 21.6+/-10.7 years) were operated on. In group A (32 patients), one-step surgical correction (simultaneous intraoperative elimination of arrhythmias and congenital heart defect repair) was performed, whereas in group B (21 patients), two-step surgery was performed with initial elimination of arrhythmogenic substrate by transcatheter radiofrequency ablation (first step) and following surgical repair of congenital heart defect (second step). RESULTS In group A, total hospital mortality was 3.1% (1 patient) due to initial severe condition of this patient. One-step surgery was effective in 93.5% of cases. Mortality was not observed in group B. Efficacy of transcatheter radiofrequency ablation was 76.2%. CONCLUSIONS One-stage and two-stage surgery of arrhythmias and Ebstein's anomaly are highly effective. First step of surgery of combined pathology reduces cardiopulmonary bypass time, complications and mortality while performing the second step of congenital heart defect surgery. However, simultaneous approach (one-step surgery) is better in terms of arrhythmia elimination.
منابع مشابه
eComment. Two-stage repair of Ebstein's anormaly in a neonate.
A rare case of neonatal Ebstein's anomaly with circular shunting was reported. A two-stage surgical procedure was performed, and the outcome was good. Razook JD. Repair of Ebstein's anomaly in the symptomatic neonate: an evolution of technique with 7-year follow-up. Rapid two-stage Starnes procedure for a symptomatic neonate with Ebstein anomaly. Ebstein's anomaly appearing in the neonate. A ne...
متن کاملInm-1: Blastocyst Culture: Advantages and Disadvantages
Both cleavage-stage and blastocyst-stage embryo transfer policieshave advantages and drawbacks.Potential advantages of blastocyst culture and transfer in human IVF include: i. synchronization of the embryo with the female tract leading to increasedimplantation rates; thereby, reducing the need for multipleembryo transfers, ii. assessment of viability of an embryobefore transfer. This can be ach...
متن کاملEffect of Ebstein's anomaly on short- and long-term outcome of surgically treated patients with Wolff-Parkinson-White syndrome.
BACKGROUND Ebstein's anomaly is the most commonly occurring congenital abnormality associated with the Wolff-Parkinson-White (WPW) syndrome. However, the effects of Ebstein's anomaly on the risks and benefits of surgical ablation of accessory pathways in patients with WPW syndrome are unknown. METHODS AND RESULTS This study compared the long-term outcome of 38 WPW patients with Ebstein's anom...
متن کاملLong-term Outcome of Surgically Treated Patients With Wolff-Parkinson-White Syndrome
Background. Ebstein's anomaly is the most commonly occurring congenital abnormality associated with the Wolif-Parkinson-White (WPW) syndrome. However, the effects of Ebstein's anomaly on the risks and benefits of surgical ablation of accessory pathways in patients with WPW syndrome are unknown. Methods and Results. This study compared the long-term outcome of 38 WPW patients with Ebstein's anom...
متن کاملValve replacement for Ebstein's anomaly of the tricuspid valve. Early and long-term results of eight cases.
The role of valve replacement in the treatment of Ebstein's anomaly of the tricuspid valve remains controversial. Since 1965, eight patients with Ebstein's anomaly ranging in age from seven to 22 years of age (mean 13 years) have undergone tricuspid valve replacement (TVR) in our institution. Seven were in functional class 3 or 4 (NYHA), while one was in class 2, but had an increase in cardiac ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
دوره 28 4 شماره
صفحات -
تاریخ انتشار 2005