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Arrhythmia management in patients with a common arterial trunk and d-transposition of the great arteries*

Published online by Cambridge University Press:  18 January 2013

Jamie A. Decker*
Affiliation:
Division of Pediatric Cardiology, All Children's Heart Institute, Saint Petersburg, Florida, United States of America
Jorge McCormack
Affiliation:
Pediatric Cardiology Associates/Pediatrix Medical Group, All Children's Hospital, Saint Petersburg, Florida, United States of America
Mitchell I. Cohen
Affiliation:
Arizona Pediatric Cardiology Consultants, Phoenix Children's Hospital, Phoenix, Arizona, United States of America
*
Correspondence to: Dr J. A. Decker, MD, Division of Pediatric Cardiology, All Children's Heart Institute, 601 5th Street South, Saint Petersburg, Florida, United States of America. Tel: 727 767 3333; Fax: 727 767 8900; E-mail: jamie.decker@allkids.org

Abstract

Arrhythmias in patients with congenital heart disease present a challenge to the care of these patients and can result in significant morbidity and mortality. Transposition of the great arteries and common arterial trunk are no exceptions. It is important to identify risk factors for arrhythmia development in the peri-operative period. The peri-operative arrhythmia burden may relate to the underlying congenital heart disease, haemodynamic perturbations, operative events, and potential residual lesions. In addition, these patients are at risk for developing arrhythmias later in life, and non-invasive and potentially invasive arrhythmia surveillance should be a routine part of the care of these patients. This article highlights important strategies to manage arrhythmia development and prevention in this patient population.

Type
Original Article
Copyright
Copyright © Cambridge University Press 2012

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Footnotes

*

Presented at: 12th Annual International Symposium on Congenital Heart Disease, February 17–21, 2012, All Children's Hospital, Saint Petersburg, Florida, United States of America.

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