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Management of Atrial Arrhythmias Secondary to Severe Congenital Heart Disease with the Atrioverter
Author(s) -
TIMMERMANS CARL,
RODRIGUEZ LUZMARIA,
REUTER DAVID,
STAFFERS JAN,
BARENBRUG PAUL J.C.,
CHERIEX EMILE C.,
WELLENS HEIN J.J.
Publication year - 2000
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2000.tb00924.x
Subject(s) - medicine , cardiology , atrial fibrillation , great arteries , defibrillation , heart disease , heart failure , ambulatory
An atrial defibrillator was implanted in a patient with congcnitally corrected transposition of the great arteries, associated cardiac abnormalities, and persistent atrial arrhythmias. During a 15‐month follow‐up, 14 of 20 spontaneous episodes of his arrhythmias were successfully treated with the device. Two of these episodes were converted to sinus rhythm during ambulatory use of the device. Successful use of the device required implantation of a third defibrillation lead in the persistent leftsided superior caval vein and rigid control of congestive heart failure. An atrial defibrillator may be a valid treatment option in patients with congenital heart disease crippled by atrial fibrillation