An international multicenter study comparing arrhythmia prevalence between the intracardiac lateral tunnel and the extracardiac conduit type of Fontan operations

Objective The study objective was to determine whether the extracardiac conduit Fontan confers an arrhythmia advantage over the intracardiac lateral tunnel Fontan. Methods This multicenter study of 1271 patients compared bradyarrhythmia (defined as need for pacing) and tachyarrhythmia (defined as ne...

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Veröffentlicht in:	The Journal of thoracic and cardiovascular surgery 2014-08, Vol.148 (2), p.576-581
Hauptverfasser:	Balaji, Seshadri, MBBS, MRCP (UK), PhD, Daga, Ankana, MD, Bradley, David J., MD, Etheridge, Susan P., MD, Law, Ian H., MD, Batra, Anjan S., MD, Sanatani, Shubayan, MD, Singh, Anoop K., MD, Gajewski, Kelly K., MD, Tsao, Sabrina, MD, Singh, Harinder R., MD, Tisma-Dupanovic, Svjetlana, MD, Tateno, Shigeru, MD, Takamuro, Motoki, MD, Nakajima, Hiromichi, MD, Roos-Hesselink, Jolien W., MD, PhD, Shah, Maully, MBBS
Format:	Artikel
Sprache:	eng
Schlagworte:	Anti-Arrhythmia Agents - therapeutic use Bradycardia - diagnosis Bradycardia - epidemiology Bradycardia - therapy Cardiac Pacing, Artificial Cardiothoracic Surgery Chi-Square Distribution Child, Preschool Female Fontan Procedure - adverse effects Fontan Procedure - methods Heart Defects, Congenital - diagnosis Heart Defects, Congenital - epidemiology Heart Defects, Congenital - surgery Humans Incidence Infant Kaplan-Meier Estimate Logistic Models Male Multivariate Analysis Odds Ratio Patient Selection Prevalence Proportional Hazards Models Retrospective Studies Risk Assessment Risk Factors Tachycardia - diagnosis Tachycardia - drug therapy Tachycardia - epidemiology Time Factors Treatment Outcome
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Zusammenfassung:	Objective The study objective was to determine whether the extracardiac conduit Fontan confers an arrhythmia advantage over the intracardiac lateral tunnel Fontan. Methods This multicenter study of 1271 patients compared bradyarrhythmia (defined as need for pacing) and tachyarrhythmia (defined as needing antiarrhythmic therapy) between 602 patients undergoing the intracardiac Fontan and 669 patients undergoing the extracardiac Fontan. The median age at the time of the Fontan procedure was 2.1 years (interquartile range, 1.6-3.2 years) for the intracardiac group and 3.0 years (interquartile range, 2.4-3.9) for the extracardiac group ( P
ISSN:	0022-5223 1097-685X
DOI:	10.1016/j.jtcvs.2013.08.070