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Arrhythmias After Tetralogy of Fallot Repair

By Antonio Franco Folino and Luciano Daliento

Abstract

Tetralogy of Fallot is the most common cyanotic congenital heart disease, with a good outcome after total surgical correction. In spite of a low perioperative mortality and a good quality of life, late sudden death remains a significant clinical problem, mainly related to episodes of sustained ventricular tachycardia and ventricular fibrillation. Fibro-fatty substitution around infundibular resection, intraventricular septal scar, and patchy myocardial fibrosis, may provide anatomical substrates of abnormal depolarization and repolarization causing reentrant ventricular arrhythmias. Several non-invasive indices based on classical examination such as ECG, signal-averaging ECG, and echocardiography have been proposed to identify patients at high risk of sudden death, with hopeful results. In the last years other more sophisticated invasive and non-invasive tools, such as heart rate variability, electroanatomic mapping and cardiac magnetic resonance added a relevant contribution to risk stratification. Even if each method per se is affected by some limitations, a comprehensive multifactorial clinical and investigative examination can provide an accurate risk evaluation for every patien

Topics: Indian Pacing and Electrophysiology Journal
Publisher: Indian Pacing and Electrophysiology Group
Year: 2005
OAI identifier: oai:cogprints.org:4598
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    Citations

    1. (1994). Current surgical management of tetralogy of Fallot. Ann Thorac Surg
    2. (1955). Direct vision intracardiac surgical correction of the tetralogy of Fallot, pentalogy of Fallot and pulmonary atresia defects: report of first ten cases. Ann Surg
    3. (2001). Echocardiographic and signal averaged ECG indices associated with non-sustained ventricular tachycardia after repair of tetralogy of Fallot. Heart doi
    4. (2001). Impact of pulmonary valve replacement on arrhythmia propensity late after repair of tetralogy of Fallot. Circulation
    5. (2004). Implantable cardioverter defibrillator in adults with congenital heart disease: a single center experience. Pacing Clin Electrophysiol
    6. (2005). Indian Pacing and Electrophysiology
    7. Induction of sustained ventricula tachicardia after surgical repair of tetralogy of Fallot.
    8. (2002). Influence of early repair of tetralogy of Fallot without an outflow patch on late arrhythmias and sudden death: a 27-year follow-up study following a uniform surgical approach. Cardiol
    9. (2005). Late potentials on signalaveraged electrocardiograms in childre after right ventriculotomy. Pediatr cardiol 1995;16:114. Indian Pacing and doi
    10. (1994). Late ventricular arrhythmia is rare early after repair of tetralogy of Fallot.
    11. Long-term results of correction of tetralogy of Fallot in adulthood.
    12. (1997). Long-term survival in patients with repair of tetralogy of Fallot: 36-year follow-up of 490 survivors of the first year after surgical repair.
    13. (1996). Myocardial Gd-DTPA kinetics determine MRI contrast enhancement and reflect the extent and severity of myocardial injury after reperfused infarction. Circulation
    14. Prevention of sudden death after repair of tetralogy of Fallot: treatment of ventricular arrhythmias.
    15. Radiofrequency catheter ablation of a macroreentrant ventricular tachycardia late after surgical repair of tetralogy of Fallot using the electroanatomic mapping (CARTO). Pacing Clin Electrophysiol 2004;27:801- doi
    16. Relationship of MRI delayed contrast enhancement to irreversible injury, infarct age and contractile function.
    17. (1996). Right ventricular diastolic function in children with pulmonary regurgitation after repair of tetralogy of Fallot: volumetric evaluation by magnetic resonance velocity mapping.
    18. (1992). Serial follow-up of adults with repaired tetralogy of Fallot.
    19. (1990). Stretch-induced arrhythmias in the isolated canine ventricle. Evidence for the importance of mechanoelectrical feedback. Circulation
    20. (1997). Sustained ventricular tachycardia in adult patients late after repair of tetralogy of Fallot. doi
    21. (1994). Transcatheter radiofrequency ablation of ventricular tachycardia following surgical correction of tetralogy of Fallot. Pacing Clin Electrophysiol
    22. Twenty-to-thirty-seven-year follow-up after repair for tetralogy of Fallot.
    23. Value of programmed ventricular stimulation after tetralogy of Fallot repair: a multicenter study.
    24. (1999). Value of programmed ventricular stimulation in patients with congenital heart disease.
    25. (1991). Ventricular late potentials and induced ventricular arrhythmias after surgical repair of tetralogy of Fallot. doi
    26. Ventricular late potentials and spontaneous ventricular arrhythmias after surgical repair of tetralogy of Fallot: do they have a prognostic value? doi

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