Risk Factors of Alp et al for Early Postoperative Arrhythmias in Pediatric Patients Following Cardiac Surgery for Congenital Heart Disease

Description

Alp et al identified a number of risk factors associated with early postoperative arrhythmias in children undergoing cardiac surgery for congenital heart disease. The authors are from Necmettin Erbakan University in Turkey.

Prevalence: 44% in study period

Patient selection: pediatric (<= 17 years)

Risk factors:

(1) female gender

(2) type of surgical repair (increasing with surgical complexity and/or mechanical irritation of the conduction system and/or “humoral factors”)

Defect or Surgical Repair	Arrhythmia
secundum atrial septal defect	supraventricular extrasystoles, supraventricular tachycardia, junctional rhythm, atrial flutter
ventricular septal defect	supraventricular extrasystoles, ventricular extrasystoles, wandering atrial pacemaker
tetralogy of Fallot	supraventricular extrasystoles, wandering atrial pacemaker, atrial fibrillation
atrioventricular septal defect	supraventricular extrasystoles, atrial fibrillation
atrial septal defect with PAPVR (partial anomalous pulmonary venous return)	atrial fibrillation, supraventricular extrasystole
Rastelli procedure	supraventricular tachycardia
pulmonary valve commissurotomy	supraventricular extrasystole
Blalock Taussig shunt	supraventricular extrasystole, atrial flutter
double outlet right ventricle (non-Rastelli)	supraventricular extrasystole

where:

• The Rastelli procedure can be used to correct Taussig-Bing heart (double outlet right ventricle with pulmonary stenosis), dextro-transposition of the great arteries , overriding aorta, and some other types of congenital heart disease.

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Risk Factors of Alp et al for Early Postoperative Arrhythmias in Pediatric Patients Following Cardiac Surgery for Congenital Heart Disease

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