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Early and Late Postoperative Tachyarrhythmias in Children and Young Adults Undergoing Congenital Heart Disease Surgery

Published inPediatric Cardiology, vol. 44, no. 2, p. 312-324
Errata
Publication date2023-02
First online date2022-12-14
Abstract

The population of patients with congenital heart disease is constantly growing with an increasing number of individuals reaching adulthood. A significant proportion of these children and young adults will suffer from tachyarrhythmias due to the abnormal anatomy, the hemodynamic burden, or as a sequela of surgical treatment. Depending on the underlying mechanism, arrhythmias may arise in the early postoperative period (hours to days after surgery) or in the late postoperative period (usually years after surgery). A good understanding of the electrophysiological characteristics and pathophysiological mechanisms is therefore crucial to guide the therapeutic approach. Here, we synthesize the current state of knowledge on epidemiological features, risk factors, pathophysiological insights, electrophysiological features, and therapy regarding tachyarrhythmias in children and young adults undergoing reparative surgery for congenital heart disease. The evolution and latest data on treatment options, including pharmacological therapy, ablation procedures, device therapy decision, and thromboprophylaxis, are summarized. Finally, throughout this comprehensive review, knowledge gaps and areas for future research are also identified.

Keywords
  • Atrial fibrillation
  • Atrial tachycardia
  • Congenital heart disease
  • Junctional tachycardia
  • Surgery
  • Ventricular tachycardia
  • Anticoagulants
  • Arrhythmias, Cardiac / etiology
  • Catheter Ablation / methods
  • Child
  • Heart Defects, Congenital / complications
  • Humans
  • Tachycardia / surgery
  • Venous Thromboembolism
  • Young Adult
Citation (ISO format)
JOYE, Raphaël et al. Early and Late Postoperative Tachyarrhythmias in Children and Young Adults Undergoing Congenital Heart Disease Surgery. In: Pediatric Cardiology, 2023, vol. 44, n° 2, p. 312–324. doi: 10.1007/s00246-022-03074-w
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ISSN of the journal0172-0643
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Creation12/21/2022 10:38:21 AM
First validation08/02/2023 1:52:03 PM
Update time10/25/2024 12:55:06 PM
Status update10/25/2024 12:55:06 PM
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