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Arrhythmias in Adult Congenital Heart Disease

Arrhythmias in Adult Congenital Heart Disease

Balaji Seshadri | Ravi Mandapati | Gary Webb

(2018)

Additional Information

Book Details

Abstract

Get a quick, expert overview of the many key facets of adult congenital heart disease (ACHD) with this concise, practical resource by Drs. Seshadri Balaji, Ravi Mandapati, and Gary Webb. This easy-to-read reference presents a case-based approach to this fascinating and complex field.

  • Presents cases provided by ACHD specialists of patients with arrhythmia issues, which are evaluated by an international panel of arrhythmia experts.
  • Provides commentary and practical guidance on management of complex cases by today’s leaders in the field.
  • Consolidates today’s available information and experience in this emerging area into one convenient resource.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Arrhythmias in Adult Congenital Heart Disease i
Arrhythmias in Adult Congenital Heart Disease: A Case-Based Approach iii
Copyright iv
List of Contributors v
Preface xi
Dedication xiii
Contents xv
1 - Sudden Death Risk in Congenitally Corrected Transposition With Ventricular Dysfunction 1
CASE SYNOPSIS 1
Questions 3
Consultant Opinion 3
REFERENCES 4
Consultant Opinion 5
TAKE-HOME POINTS (EDITORS) 8
REFERENCES 8
2 - Complex Transposition With the Risk of Sudden Death While Awaiting Transplant 11
CASE SYNOPSIS 11
Case Description 11
QUESTIONS 13
Consultant’s Opinion 13
REFERENCES 14
FURTHER READING 14
Consultant’s Opinion 14
QUESTIONS 14
TAKE-HOME POINTS (EDITORS) 15
REFERENCES 15
3 - Atrial Flutter in a Repaired Tetralogy of Fallot Patient With Unusual Venous Anatomy 17
CASE SYNOPSIS 17
History 17
ELECTROCARDIOGRAM 17
ELECTROPHYSIOLOGY STUDY 17
Questions 23
Consultant Opinion 23
REFERENCES 24
Consultant Opinion 24
RECOMMENDATIONS 26
TAKE-HOME POINTS (EDITORS) 26
REFERENCES 26
4 - Unrepaired Primum Atrial Septal Defect With Atrial Fibrillation and Broad Complex Tachycardia 29
CASE SYNOPSIS 29
Questions 31
SUMMARY 33
Consultant’s Opinion 31
REFERENCES 33
Consultant’s Opinion 34
REFERENCES 36
5 - Ebstein Anomaly After Tricuspid Valve Replacement Needing Pacemaker Implantation 39
CASE REPORT 39
Questions 40
Consultant Opinion 40
REFERENCES 42
Consultant Opinion 42
INTRODUCTION 42
PERMANENT PACING IMPLANTATION METHODS 43
Transvenous Ventricular Pacing 43
Coronary sinus pacing 43
Transvalvular pacing 43
His bundle pacing 43
Leadless Pacemaker 43
Epicardial Ventricular Pacing 44
INTRA-ATRIAL BLOCK VERSUS ATRIOVENTRICULAR NODAL LEVEL BLOCK 44
SUMMARY 45
TAKE-HOME POINTS (EDITORS) 45
REFERENCES 45
6 - Transposition With Atrial Switch and Risk of Sudden Death 47
CASE SYNOPSIS 47
Questions 47
Consultant Opinion 48
RECOMMENDATION 49
REFERENCES 49
Consultant Opinion 50
TAKE-HOME POINTS (EDITORS) 51
REFERENCES 51
7 - Ebstein Anomaly With Atrial Tachycardia 53
CASE SYNOPSIS 53
Diagnoses 53
Initial Assessment, 2011 53
Assessment 2013–14 53
Summary 54
FIRST EPISODE OF CLINICALLY EVIDENT ATRIAL ARRHYTHMIA, SEPTEMBER 2014 54
FIRST OPERATION—FEBRUARY 2015, SUBSEQUENT EPISODES OF ATRIAL FLUTTER 54
RECURRENCE OF SEVERE TRICUSPID REGURGITATION NOTED OCTOBER 2015 54
TRICUSPID VALVE REPLACEMENT, MARCH 2016, FURTHER TROUBLESOME ATRIAL FLUTTER 54
OCTOBER 2016, REMAINS LIMITED, LIKELY VENTRICULAR TACHYCARDIA ON EXERCISE 55
QUESTIONS 55
Consultant’s Opinion 55
WHAT IS HIS RISK FOR SUDDEN DEATH AND DOES HE DEFINITELY NEED AN ICD? 56
ARE THERE ANY OTHER OPTIONS FOR MANAGING HIS RHYTHM PROBLEMS? 56
REFERENCES 56
Consultant’s Opinion 57
TAKE-HOME POINTS (EDITORS) 58
REFERENCES 58
8 - Resynchronization Therapy and Sudden Death Management in Congenitally Corrected Transposition 59
CASE DETAILS 59
History of Presenting Medical Complaint 59
Admission Blood Tests (Normal Values Given in Brackets) 59
Observations 60
Past Medical History and Medication (Prior to Initial Admission) 60
Current Medications (2017) 60
Social History 60
Electrocardiogram 60
CT Pulmonary Angiogram 60
Cardiac Catheterization 60
Cardiac Catheterization—Post Diuresis at Transplant Center 60
Dual Chamber Pacemaker (ECG) 60
Questions 62
Consultant Opinion 64
REFERENCES 65
Consultant Opinion 66
Recommendations 67
TAKE-HOME POINTS (EDITORS) 67
REFERENCES 68
9 - Postmaze Atrial Tachycardia 69
CASE SYNOPSIS 69
Questions 72
Consultant’s Opinion 72
CLINICAL QUESTIONS 72
REFERENCES 74
Consultant’s Opinion 74
DISCUSSION 75
FURTHER READING 76
10 - Fontan Patient With Brady and Tachyarrhythmia Issues 77
CASE SYNOPSIS 77
2015 79
Questions 83
Consultant Opinion 84
REFERENCES 86
Consultant Opinion 87
RECOMMENDATIONS 89
TAKE-HOME POINTS (EDITORS) 89
REFERENCES 90
11 - Transposition With Mustard Operation Patient With Risk of Sudden Death 93
CASE SYNOPSIS 93
Questions 94
Consultant Opinion 95
CONCLUSION 97
REFERENCES 97
Consultant Opinion 98
TAKE-HOME POINTS (EDITORS) 99
REFERENCES 99
12 - Complex Congenital Heart Disease With Brady-Tachy Syndrome and Antitachycardia Pacing 101
CASE SYNOPSIS 101
Questions 103
Consultant Opinion 105
POSTOPERATIVE ATRIAL TACHYARRHYTHMIAS IN FONTAN PATIENTS 105
CATHETER ABLATION 106
ARRHYTHMIA SURGERY 107
Drug Therapy 108
Antitachycardia Pacing 108
REFERENCES 108
Consultant Opinion 110
TAKE-HOME POINTS (EDITORS) 111
REFERENCES 111
13 - Tetralogy of Fallot and Biventricular Heart Failure 113
CASE SYNOPSIS 113
HISTORY 113
CURRENT SYMPTOMS 114
CURRENT MEDICATIONS 114
PHYSICAL EXAMINATION 114
Laboratory Data (Obtained Prior to Transfer) 114
ELECTROCARDIOGRAM 115
CHEST RADIOGRAPH 115
CT SCOUT FILM 115
Questions 116
Consultant Opinion 116
REFERENCES 117
Consultant Opinion 117
KEY CLINICAL EVENTS 117
TAKE-HOME POINTS (EDITORS) 119
REFERENCES 119
14 - Transposition Patient With Mustard's Operation and Brady-Tachy Issues 121
CASE SYNOPSIS 121
2016 125
Questions 127
Consultant’s Opinion 127
REFERENCES 129
Consultants Opinion 130
TAKE-HOME POINTS (EDITORS) 132
REFERENCES 132
15 - A Crisscross Heart With Brady-Tachy Issues 135
CASE SYNOPSIS 135
Questions 140
Consultant Opinion 142
CASE SUMMARY 142
REFERENCES 144
Consultant Opinion 145
TAKE-HOME POINTS (EDITORS) 147
REFERENCES 148
16 - Repaired Complete Atrioventricular Septal Defect Patient With Late Bradyarrhythmia 149
CASE SYNOPSIS 149
Questions 151
Consultant Opinion 151
ANSWERS 151
REFERENCES 153
Consultant Opinion 154
QUESTIONS 154
TAKE-HOME POINTS (EDITORS) 156
REFERENCES 156
17 - Postventricular Septal Defect Repair With Bradyarrhythmias and Sudden Death 157
CASE SYNOPSIS 157
Questions 157
Consultant Opinion 162
REFERENCES 164
Consultant Opinion 165
MANAGEMENT OF POLYMORPHIC VENTRICULAR TACHYCARDIA 167
TAKE-HOME POINTS (EDITORS) 167
REFERENCES 168
18 - Atrial Fibrillation and Thrombus in a Patient With a Fontan Circulation 169
CASE SYNOPSIS 169
Questions 171
Consultant Opinion 171
SUMMARY 173
REFERENCES 173
Consultant Opinion 174
DIAGNOSIS 174
INCIDENCE AND PREVALENCE OF ATRIAL ARRHYTHMIAS 174
MEDICAL MANAGEMENT OF ARRHYTHMIA 174
MANAGING A LARGE INTRAATRIAL THROMBUS 175
THE CONCEPT OF “FONTAN CONVERSION” 175
CONCLUSION 176
TAKE-HOME POINTS (EDITORS) 176
REFERENCES 176
Index 179
A 179
B 179
C 180
D 180
E 181
F 181
G 181
H 181
I 181
J 181
L 181
M 181
N 182
O 182
P 182
R 182
S 183
T 183
U 183
V 183
W 184
Z 184