Management of late atrial tachyarrhythmia long after Fontan operation
Open accessAbstract
Background The optimal management of atrial tachyarrhythmia (AT) late after Fontan operation has not yet been established.Methods and results Of 199 patients who were followed for more than 10 years after Fontan operation, 60 patients in whom late postoperative arrhythmias were observed were the subjects of this study. These arrhythmias were managed with anti-arrhythmic drugs. Twenty-one of 60 patients (35%) did not respond to the drugs and they needed further interventions. Fourteen catheter ablation procedures were performed in nine patients (atrial fibrillation in one patient, AT in eight patients) and the success rate was 44%. Conversion to total cavopulmonary connection (TCPC) was performed in 14 patients and Maze operation was performed at the time of Fontan conversion in 6 patients. Sinus rhythm or pacemaker rhythm was maintained in 7 of 14 (50%) patients postoperatively.Conclusions Although arrhythmogenic substrates accumulate and tachyarrhythmia becomes frequent over the long-term following Fontan operation, most patients with AT can be managed medically. The success rate of catheter ablation and Maze operation is low but those interventions may be indicated in patients with intractable arrhythmias.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Sodium channel blockers suppress approximately half of atrial arrhythmias in Fontan patients.
“Sodium channel blockers suppress approximately half of atrial arrhythmias in Fontan patients.969”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [969]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Mode of death in adults with congenital heart disease
Oechslin, E. N., Harrison, D. A., Connelly, M. S., Webb, G. D., & Siu, S. C. (2000) · The American Journal of Cardiology · doi:10.1016/s0002-9149(00)01169-3 · Cited by 505 · see citing works
Nakagawa, H., Shah, N., Matsudaira, K., Overholt, E. D., Chandrasekaran, K., Beckman, K. J., Spector, P., Calame, J., Rao, A., Hasdemir, C., et al. (2001) · Circulation · doi:10.1161/01.cir.103.5.699 · Cited by 379 · see citing works
Triedman, J. K., Alexander, M. E., Love, B. A., Collins, K. K., Berul, C. I., Bevilacqua, L. M., & Walsh, E. P. (2002) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(02)01858-2 · Cited by 260 · see citing works
Triedman, J. K., Saul, J. P., Weindling, S. N., & Walsh, E. P. (1995) · Circulation · doi:10.1161/01.cir.91.3.707 · Cited by 217 · see citing works
Total cavopulmonary conversion and maze procedure for patients with failure of the Fontan operation
Mavroudis, C. D., Backer, C. L., Deal, B. J., Johnsrude, C. L., & Strasburger, J. F. (2001) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1067/mtc.2001.117840 · Cited by 213 · see citing works
Collins, K. K., Love, B. A., Walsh, E. P., Saul, J. P., Epstein, M. R., & Triedman, J. K. (2000) · The American Journal of Cardiology · doi:10.1016/s0002-9149(00)01132-2 · Cited by 194 · see citing works
Outcomes of late atrial tachyarrhythmias in adults after the Fontan operation
Ghai, A., Harris, L., Harrison, D. A., Webb, G. D., & Siu, S. C. (2001) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(00)01141-4 · Cited by 179 · see citing works
Predictors of Early- and Late-Onset Supraventricular Tachyarrhythmias After Fontan Operation
Durongpisitkul, K., Porter, C.-B. J., Cetta, F., Offord, K. P., Slezak, J. M., Puga, F. J., Schaff, H. V., Danielson, G. K., & Driscoll, D. J. O. (1998) · Circulation · doi:10.1161/01.cir.98.11.1099 · Cited by 175 · see citing works
111 Fontan Conversions with Arrhythmia Surgery: Surgical Lessons and Outcomes
Mavroudis, C. D., Deal, B. J., Backer, C. L., Stewart, R. D., Franklin, W. H., Tsao, S. S. L., Ward, K. M., & de Freitas, R. A. (2007) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2007.06.079 · Cited by 173 · see citing works
Interventional Electrophysiology in Patients With Congenital Heart Disease
Walsh, E. P. (2007) · Circulation · doi:10.1161/circulationaha.106.655753 · Cited by 173 · see citing works
Marcelletti, C. F., Hanley, F. L., Mavroudis, C. D., McElhinney, D. B., Abella, R. F., Marianeschi, S., Seddio, F., Reddy, V. M., Petrossian, E., de la Torre, T., et al. (2000) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/s0022-5223(00)70190-5 · Cited by 163 · see citing works
Delacrétaz, E., Ganz, L. I., Soejima, K., Friedman, P. L., Walsh, E. P., Triedman, J. K., Sloss, L. J., Landzberg, M. J., & Stevenson, W. G. (2001) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(01)01192-5 · Cited by 157 · see citing works
Management of atrial flutter after the fontan procedure
Balaji, S., Johnson, T. B., Sade, R. M., Case, C. L., & Gillette, P. C. (1994) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(94)90613-0 · Cited by 134 · see citing works
Occurrence and management of atrial arrhythmia after long-term Fontan circulation
Weipert, J., Noebauer, C., Schreiber, C., Kostolny, M., Zrenner, B., Wacker, A., Hess, J., & Lange, R. S. (2004) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2003.08.054 · Cited by 128 · see citing works
Chétaille, P., Walsh, E. P., & Triedman, J. K. (2004) · Heart Rhythm · doi:10.1016/j.hrthm.2004.03.064 · Cited by 122 · see citing works
de Groot, N. M. S., Zeppenfeld, K., WIJFFELS, M. C. E. F., Chan, W. K., Blom, N. A., van der Wall, E. E., & Schalij, M. J. (2006) · Heart Rhythm · doi:10.1016/j.hrthm.2006.01.011 · Cited by 117 · see citing works
Arrhythmia Management in the Fontan Patient
Deal, B. J., Mavroudis, C. D., & Backer, C. L. (2007) · Pediatric Cardiology · doi:10.1007/s00246-007-9005-2 · Cited by 114 · see citing works
Amiodarone treatment of critical arrhythmias in children and young adults
Garson, A., Gillette, P. C., McVey, P., et al. (1984) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(84)80402-7 · Cited by 111 · see citing works
Nakagawa, H., Shah, N., & Matsudaira, K. (2001) · ACC Current Journal Review · doi:10.1016/s1062-1458(01)00337-3 · Cited by 108 · see citing works
Kriebel, T. A., Saul, J. P., Schneider, H. E., Sigler, M., & Paul, T. (2007) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2007.07.074 · Cited by 89 · see citing works
Deal, B. J., Mavroudis, C., Backer, C. L., Buck, S. H., & Johnsrude, C. (2002) · Circulation · doi:10.1161/01.cir.0000025876.82336.26 · Cited by 87 · see citing works
Atrial arrhythmias during chronic follow-up of surgery for complex congenital heart disease
KANTER, R. J., & GARSON, A. (1997) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1997.tb06207.x · Cited by 82 · see citing works
Kannankeril, P. J., Anderson, M. E., Rottman, J. N., Wathen, M. S., & Fish, F. A. (2003) · The American Journal of Cardiology · doi:10.1016/s0002-9149(03)00908-1 · Cited by 79 · see citing works
Atrial Reentrant Tachycardia After Surgery for Congenital Heart Disease
Paul, T., Windhagen‐Mahnert, B., Kriebel, T. A., et al. (2001) · Circulation · doi:10.1161/01.cir.103.18.2266 · Cited by 77 · see citing works
Abrams, D. J., Earley, M. J., Sporton, S. C., Kistler, P. M., Gatzoulis, M. Α., Mullen, M., Till, J. A., Cullen, S., Walker, F., LOWE, M. D., et al. (2007) · Circulation · doi:10.1161/circulationaha.106.633982 · Cited by 72 · see citing works
Tanner, H., Lukáč, P., Schwick, N. G., Fuhrer, J., Pedersen, A. K., HANSEN, P. S., & Delacrétaz, E. (2004) · Heart Rhythm · doi:10.1016/j.hrthm.2004.04.020 · Cited by 69 · see citing works
Dual-loop circuits in postoperative atrial macro re-entrant tachycardias
Seiler, J., Schmid, D. K., Irtel, T. A., Tanner, H., Rotter, M., Schwick, N. G., & Delacrétaz, E. (2006) · Heart · doi:10.1136/hrt.2006.094748 · Cited by 52 · see citing works
Rao, S. O., Boramanand, N. K., Burton, D. A., & Perry, J. C. (2008) · International Journal of Cardiology · doi:10.1016/j.ijcard.2008.04.060 · Cited by 43 · see citing works
de Groot, N. M. S., Kuijper, A. F. M., Blom, N. A., Bootsma, M., & Schalij, M. J. (2001) · Pacing and Clinical Electrophysiology · doi:10.1046/j.1460-9592.2001.01334.x · Cited by 33 · see citing works
Zrenner, B., Ndrepepa, G., Schneider, M., KARCH, M. R., Brodherr-Heberlein, S., Kaemmerer, H. M., Hess, J., Schömig, A., & Schmitt, C. (2001) · The American Journal of Cardiology · doi:10.1016/s0002-9149(01)01745-3 · Cited by 23 · see citing works
Drago, F., Silvetti, M. S., Grutter, G., & SANTIS, A. D. (2006) · EP Europace · doi:10.1093/europace/eul069 · Cited by 19 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Zrenner B, Ndrepepa G, Schneider MA, Karch MR, Brodherr- Heberlein S, Kaemmerer H, Hess J, Schömig A, Schmitt C. Mapping and ablation of atrial arrhythmias after sur- gical correction of congenital heart disease guided by a 64-electrode basket catheter. Am J Cardiol 2001;88:573-8.
Cited by
Sorted by citations
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castella, M., Diener, H.-C., Heidbuchel, H., Hendriks, J., et al. (2016) · European Heart Journal · doi:10.1093/eurheartj/ehw210 · Cited by 6,418 · see citing works
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castella, M., Diener, H.-C., Heidbuchel, H., Hendriks, J., et al. (2016) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezw313 · Cited by 1,403 · see citing works
- Authors
- Fujita, S., Takahashi, K., Takeuchi, D., Manaka, T., Shoda, M., Hagiwara, N., Kurosawa, H., & Nakanishi, T.
- Affiliations
- Tokyo Women's Medical University (JP)
- Tokyo Women's Medical University Hospital (JP)
- Corresponding author
- Fujita, Shuhei
- Venue
- Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2009-06
- Volume
- 53
- Issue
- 3
- Pages
- 410-416
- ISSN
- 0914-5087 (ISSN-L)
- OpenAlex
- W2042134603
- Cited by
- 23
- References
- 31
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 3 · 2014: 1 · 2013: 2 · 2012: 1
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Cardiology (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 › Atrial Fibrillation Management and Outcomes
- Keywords
- atrial tachyarrhythmia, Fontan procedure, antiarrhythmic drugs, catheter ablation, total cavopulmonary connection, maze procedure, atrial fibrillation, long-term follow-up, congenital heart disease
- MeSH terms
- Adolescent, Adult, Anti-Arrhythmia Agents, Female, Heart Defects, Congenital, Cardiac Surgical Procedures, Humans, Male, Middle Aged, Postoperative Complications, Tachycardia, Time Factors, Catheter Ablation, Heart Bypass, Right, Fontan Procedure, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
