Cited by 123Cardiac Arrhythmias and TreatmentsCongenital Heart Disease StudiesAtrial Fibrillation Management and Outcomes

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Ablation of atrial tachycardia after surgery for congenital and acquired heart disease using an electroanatomic mapping system: Which circuits to expect in which substrate?

Lukac, Peter, Pedersen, Anders K., Mortensen, Peter T., Jensen, Henrik K., Hjortdal, Vibeke, Hansen, Peter S.·2005·Heart Rhythm

DOI 10.1016/j.hrthm.2004.10.034

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Abstract

Objectives The purpose of this study was to compare atrial tachycardia circuits after a range of cardiac operations.Background Knowledge of circuits occurring in a given postsurgical substrate should help to ablate these challenging tachycardias and develop potential preventive strategies.Methods We analyzed tachycardia circuits in 83 consecutive patients (60 males; median age 47 years, range 9-73) after atrial incisions undergoing ablation of atrial tachycardias. A combined strategy of electroanatomic (CARTO) and entrainment mapping was used. Fifty-two patients (63%) underwent operation for congenital and 31 (37%) for acquired heart disease. Patients were divided into subgroups based on the intervention performed in the atria: right lateral atriotomy (39 patients), left atrial (11) and superior transseptal (10) approach to the mitral valve, biatrial heart transplantation (8), Mustard (8) and Fontan (4) procedure, and other interventions (3).Results Most of the 119 tachycardias mapped were isthmus-dependent atrial flutter (66) and incisional tachycardia (30). Isthmus-dependent atrial flutter was the most frequent arrhythmia in all subgroups except for Fontan patients, in whom incisional tachycardia was most frequent. The distribution of tachycardia circuits did not differ significantly among groups.Conclusions The observed circuits did not differ among the postsurgical substrates. Isthmus-dependent atrial flutter should be the first circuit considered in patients after atrial incisions.

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Akar, 2001, Coexistence of type I atrial flutter and intra-atrial re-entrant tachycardia in patients with surgically corrected congenital heart disease, J Am Coll Cardiol, 38, 377, 10.1016/S0735-1097(01)01392-4 · DOI

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Method
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Result

Authors: Lukac, P., Pedersen, A. K., Mortensen, P. T., Jensen, H. K., Hjortdal, V., & Hansen, P. S.
Affiliations: Aarhus University Hospital (DK)
ORCID: Mortensen, Peter T.
Jensen, Henrik K.
Hjortdal, Vibeke
Venue: Heart Rhythm
Publisher: Elsevier BV
Published: 2005-01
Volume: 2
Issue: 1
Pages: 64-72
ISSN: 1547-5271 (ISSN-L)
DOI: 10.1016/j.hrthm.2004.10.034
OpenAlex: W2028767597
Cited by: 123
References: 24
Citations by year: 2026: 2 · 2025: 3 · 2024: 5 · 2023: 7 · 2022: 6 · 2021: 5 · 2020: 3 · 2019: 3 · 2018: 10 · 2017: 11 · 2016: 9 · 2015: 13 · 2014: 10 · 2013: 7 · 2012: 5
FWCI: 3.18
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Heart Rhythm (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Congenital Heart Disease Studies
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
Keywords: atrial tachycardia, electroanatomical mapping, isthmus-dependent atrial flutter, congenital heart disease, acquired heart disease, Fontan procedure, Mustard procedure, heart transplantation, entrainment mapping, ablation strategy
MeSH terms: Atrial Flutter, Female, Follow-Up Studies, Heart Defects, Congenital, Heart Diseases, Humans, Male, Middle Aged, Postoperative Complications, Retrospective Studies, Tachycardia, Tachycardia, Atrioventricular Nodal Reentry, Catheter Ablation, Electrophysiologic Techniques, Cardiac

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Ablation of atrial tachycardia after surgery for congenital and acquired heart disease using an electroanatomic mapping system: Which circuits to expect in which substrate?

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