Early postoperative arrhythmias after pediatric cardiac surgery

Delaney, Jeffrey W.; Moltedo, José M.; Dziura, James; Kopf, Gary S.; Snyder, Christopher S.

doi:10.1016/j.jtcvs.2006.02.010

Cited by 132 publications

(179 citation statements)

References 20 publications

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“…[4][5][6]8,9 Pathophysiological causes of early postoperative arrhythmias include direct surgical injuries such as myocardial incision, cannulation, sutures close to the conduction system, and acute changes in intracardiac pressure caused by volume and pressure overload. [1][2][3][4][5][6][7][8][9][10] Furthermore, cardiopulmonary bypass (CPB) with ischemia-reperfusion and related cellular biochemical effects as well as medical interventions such as electrolyte shifts and catecholamine administration may affect the stability of the cellular membrane and result in increased myocardial irritability and automaticity. 11,12 At the All India Institute of Medical Sciences, nearly 50 open heart surgeries are performed every week for congenital heart disorders of all types.…”

Section: Introductionmentioning

confidence: 99%

Early postoperative arrhythmias after pediatric cardiac surgery

Talwar

Patel

Juneja

et al. 2015

Asian Cardiovasc Thorac Ann

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Section: Introductionmentioning

confidence: 99%

Early postoperative arrhythmias after pediatric cardiac surgery

Talwar

Patel

Juneja

et al. 2015

Asian Cardiovasc Thorac Ann

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“…A variety of factors have been associated with the development of VT in patients with CHD, including the type of CHD, age of patients at time of surgery, the era during which the operation was performed, length of cardiopulmonary bypass and aortic cross clamp time, and hemodynamic results. [2][3][4][6][7][8][9][10][11][12][13][14] The purpose of this Review is to provide an overview of the etiology, diagnosis, and treatment of VT in pediatric and adult patients with CHD. Specifically, the potential causes of VT, the importance of differentiating between VT and supraventricular tachycardia, and the use of diagnostic testing such as Holter monitoring and exercise stress testing will be examined, as will the use of cardiac catheterization and electrophysiology for the risk stratification of patients.…”

Section: Introductionmentioning

confidence: 99%

Postoperative ventricular tachycardia in patients with congenital heart disease: diagnosis and management

Snyder

2008

Nat Rev Cardiol

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Ventricular tachycardia (VT) after palliative repair of congenital heart disease is relatively rare. Despite this rarity, VT is a known cause of early, intermediate and late morbidity and mortality in these patients. A number of factors have been linked to the development of VT in this unique patient population. The purpose of this article is to provide a concise overview regarding the etiology, diagnosis and treatment of VT in patients with congenital heart disease. In-depth information will be provided to aid diagnosis and the treatment of early postoperative VT. The use of additional diagnostic methods such as echocardiography, cardiac catheterization and electrophysiology studies to risk assess patients with postoperative VT will also be discussed. In addition, I examine the long-term management strategies for VT in these patients, from medical management and cardiovascular surgery to implantation of cardioverter-defibrillators.

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“…This could also be true in patients with both LVNC and CHD. Studies looking at incidence of arrhythmias in patients with congenital heart disease quote percentages ranging from 15 to 38 % [23,24]. In our study, the LVNC-CHD cohort was noted to have a higher frequency of perioperative arrhythmias (7/20, 35 %).…”

Section: Discussionmentioning

confidence: 54%

The Impact of Concomitant Left Ventricular Non-compaction with Congenital Heart Disease on Perioperative Outcomes

et al. 2016

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Left ventricular non-compaction (LVNC) is a heterogeneous myocardial disorder characterized by prominent trabeculations and inter-trabecular recesses which may occur in association with congenital heart disease (CHD). To date, few studies have been performed to assess whether the concomitant diagnosis of LVNC affects the outcomes of CHD surgery. A retrospective review of patients with LVNC with CHD (LVNC-CHD), 0-5 years of age, was conducted. Patients with CHD without LVNC (CHD-only) and 0-5 years of age with similar diagnosis distribution were selected for comparison. Perioperative data, including CHD diagnosis, operative course, and postoperative complications were collected and compared between groups. LVNC-CHD was diagnosed in 26 children. Of the 26 with LVNC-CHD, 20 underwent surgery and these patients were compared with 276 CHD-only controls. Median total length of stay in the hospital was 12.5 days (IQR 5.5-63 days) in LVNC-CHD compared to 5 days (IQR 3-10 days) in CHD-only (p < 0.005). Postoperative death, cardiac arrest, or need for ECMO or transplantation occurred in 6/20 (30 %) of the LVNC-CHD patients compared to 3/276 (1 %) of the CHD-only group (p < 0.0001). LVNC-CHD patients had significantly longer hospital length of stay and higher perioperative complications compared to CHD-only patients without myocardial abnormalities. Pediatric cardiac care teams should be cognizant of the possibility of the increased perioperative risk associated with concomitant LVNC. Future prospective studies are warranted.

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Early postoperative arrhythmias after pediatric cardiac surgery

Cited by 132 publications

References 20 publications

Early postoperative arrhythmias after pediatric cardiac surgery

Early postoperative arrhythmias after pediatric cardiac surgery

Postoperative ventricular tachycardia in patients with congenital heart disease: diagnosis and management

The Impact of Concomitant Left Ventricular Non-compaction with Congenital Heart Disease on Perioperative Outcomes

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