Advantages and disadvantages of one-stage and two-stage surgery for arrhythmias and Ebstein's anomaly
Abstract
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.
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Surgical ablation of accessory pathways is successful in 92-100%.
“Surgical ablation of accessory pathways is successful in 92 -100%.385,386”
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- Authors
- Bockeria, L., Golukhova, E., Dadasheva, M., Revishvili, A., Levant, A., Bazaev, V., Rzaev, F., & Kakuchaya, T.
- Affiliations
- Bakulev Scientific Center for Cardiovascular Surgery Russian Academy of Medical Sciences (RU)
- Corresponding author
- Bockeria, Leo
- Venue
- European Journal of Cardio-Thoracic Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-10
- Volume
- 28
- Issue
- 4
- Pages
- 536-540
- ISSN
- 1010-7940 (ISSN-L)
- OpenAlex
- W2131253804
- Cited by
- 37
- References
- 12
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 7 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 0.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Cardio-Thoracic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- Ebstein's anomaly, tachyarrhythmias, single-stage surgery, two-stage surgery, radiofrequency ablation, postoperative mortality, cardiopulmonary bypass time
- MeSH terms
- Adolescent, Adult, Arrhythmias, Cardiac, Child, Ebstein Anomaly, Echocardiography, Electrocardiography, Female, Cardiac Surgical Procedures, Humans, Male, Middle Aged, Postoperative Complications, Tachycardia, Wolff-Parkinson-White Syndrome, Treatment Outcome, Catheter Ablation
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