Optimal timing of the Fontan conversion: Change in the P-wave characteristics precedes the onset of atrial tachyarrhythmias in patients with atriopulmonary connection

Journal of Thoracic and Cardiovascular Surgery

Volumn 133, Issue 5, 2007, Pages 1295-1302

  Koh, Masahiro ^a   Yagihara, Toshikatsu ^a   Uemura, Hideki ^b   Kagisaki, Koji ^a   Hagino, Ikuo ^a   Ishizaka, Toru ^a   Kitamura, Soichiro ^a  

^a NATIONAL CEREBRAL AND CARDIOVASCULAR CENTER   (Japan)

^b ROYAL BROMPTON HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CHILD; CLINICAL ARTICLE; CONTROLLED STUDY; ECG ABNORMALITY; ELECTROCARDIOGRAM; FOLLOW UP; FONTAN PROCEDURE; HEART ATRIUM ARRHYTHMIA; HUMAN; INFANT; P WAVE; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; SUPRAVENTRICULAR TACHYCARDIA; TREATMENT OUTCOME; TRICUSPID VALVE ATRESIA;

CHILD, PRESCHOOL; ELECTROCARDIOGRAPHY; FEMALE; FOLLOW-UP STUDIES; FONTAN PROCEDURE; HEART DEFECTS, CONGENITAL; HUMANS; INFANT; MALE; REOPERATION; TACHYCARDIA, ECTOPIC ATRIAL; TIME FACTORS; TRICUSPID ATRESIA;

EID: 34247390449     PISSN: 00225223     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jtcvs.2006.12.008     Document Type: Article

References (39)

1. Peters N.S., and Somerville J. Arrhythmias after the Fontan procedure. Br Heart J 68 (1992) 199-204
2. Balaji S., Johnson T.B., Sade R.M., Case C.L., and Gillette P.C. Management of atrial flutter after the Fontan procedure. J Am Coll Cardiol 23 (1994) 1209-1215
3. Ghai A., Harris L., Harrison D.A., Webb G.D., and Siu S.C. Outcomes of late atrial tachyarrhythmias in adults after the Fontan operation. J Am Coll Cardiol 37 (2001) 585-592
4. Fishberger S.B., Wernovsky G., Gentles T.L., Gauvreau K., Burnett J., Mayer Jr. J.E., et al. Factors that influence the development of atrial flutter after the Fontan operation. J Thorac Cardiovasc Surg 113 (1997) 80-86
5. Kurer C.C., Tanner C.S., and Vetter V.L. Electrophysiologic findings after Fontan repair of functional single ventricle. J Am Coll Cardiol 17 (1991) 174-181
6. Gewillig M., Wyse R.K., de Leval M.R., and Deanfield J.E. Early and late arrhythmias after the Fontan operation: predisposing factors and clinical consequences. Br Heart J 67 (1992) 72-79
7. Balaji S., Gewillig M., Bull C., de Leval M.R., and Deanfield J.E. Arrhythmias after the Fontan procedure. Comparison of total cavopulmonary connection and atriopulmonary connection. Circulation 84 5 Suppl (1991) III162-III167
8. Gelatt M., Hamilton R.M., McCrindle B.W., Gow R.M., Williams W.G., Trusler G.A., et al. Risk factors for atrial tachyarrhythmias after the Fontan operation. J Am Coll Cardiol 24 (1994) 1735-1741
9. Cecchin F., Johnsrude C.L., Perry J.C., and Friedman R.A. Effect of age and surgical technique on symptomatic arrhythmias after the Fontan procedure. Am J Cardiol 76 (1995) 386-391
10. Weber H.S., Hellenbrand W.E., Kleinman C.S., Perlmutter R.A., and Rosenfeld L.E. Predictors of rhythm disturbances and subsequent morbidity after the Fontan operation. Am J Cardiol 64 (1989) 762-767
11. Durongpisitkul K., Porter C.J., Cetta F., Offord K.P., Slezak J.M., Puga F.J., et al. Predictors of early- and late-onset supraventricular tachyarrhythmias after Fontan operation. Circulation 98 (1998) 1099-1107
12. Mavroudis C., Backer C.L., Deal B.J., and Johnsrude C.L. Fontan conversion to cavopulmonary connection and arrhythmia circuit cryoblation. J Thorac Cardiovasc Surg 115 (1998) 547-556
13. Deal B.J., Mavroudis C., Backer C.L., Johnsrude C.L., and Rocchini A.P. Impact of arrhythmia circuit cryoablation during Fontan conversion for refractory atrial tachycardia. Am J Cardiol 83 (1999) 563-568
14. Nomura F., Finucane K., Smith W., and Kerr A.R. The failing Fontan with atrial flutter: a successful surgical option. Ann Thorac Surg 68 (1999) 1845-1848
15. Marcelletti C.F., Hanley F.L., Mavroudis C., McElhinney D.B., Abella R.F., Marianeschi S.M., et al. Revision of previous Fontan connections to total extracardiac cavopulmonary anastomosis: a multicenter experience. J Thorac Cardiovasc Surg 119 (2000) 340-346
16. Kawahira Y., Uemura H., Yagihara T., Yoshikawa Y., and Kitamura S. Renewal of the Fontan circulation with concomitant surgical intervention for atrial arrhythmia. Ann Thorac Surg 71 (2001) 919-921
17. Mavroudis C., Backer C.L., Deal B.J., Johnsrude C., and Strasburger J. Total cavopulmonary conversion and maze procedure for patients with failure of the Fontan operation. J Thorac Cardiovasc Surg 122 (2001) 863-871
18. Deal B.J., Mavroudis C., Backer C.L., Buck S.H., and Johnsrude C. Comparison of anatomic isthmus block with the modified right atrial maze procedure for late atrial tachycardia in Fontan patients. Circulation 106 (2002) 575-579
19. Setty S.P., Finucane K., Skinner J.R., and Kerr A.R. Extracardiac conduit with a limited maze procedure for the failing Fontan with atrial tachycardias. Ann Thorac Surg 74 (2002) 1992-1997
20. Vignati G., Crupi G., Vanini V., Iorio F.S., Borghi A., and Giusti S. Surgical treatment of arrhythmias related to congenital heart diseases. Ann Thorac Surg 75 (2003) 1194-1199
21. Manning P.B., Mayer Jr. J.E., Wernovsky G., Fishberger S.B., and Walsh E.P. Staged operation to Fontan increases the incidence of sinoatrial node dysfunction. J Thorac Cardiovasc Surg 111 (1996) 833-840
22. Cohen M.I., Wernovsky G., Vetter V.L., Wieand T.S., Gaynor J.W., Jacobs M.L., et al. Sinus node function after a systematically staged Fontan procedure. Circulation 98 19 Suppl (1998) II352-II359
23. Buxton A.E., and Josephson M.E. The role of P wave duration as a predictor of postoperative atrial arrhythmias. Chest 80 (1981) 68-73
24. Dilaveris P.E., Gialafos E.J., Sideris S.K., Theopistou A.M., Andrikopoulos G.K., Kyriakidis M., et al. Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Am Heart J 135 (1998) 733-738
25. Chang C.M., Lee S.H., Lu M.J., Lin C.H., Chao H.H., Cheng J.J., et al. The role of P wave in prediction of atrial fibrillation after coronary artery surgery. Int J Cardiol 68 (1999) 303-308
26. Li W., Xiao H.B., Henein M.Y., Somerville J., and Gibson D.G. Progressive ECG changes before the onset of atrial flutter in adult congenital heart disease patients. Heart 85 (2001) 703
27. Ho T.F., Chia E.L., Yip W.C., and Chan K.Y. Analysis of P wave and P dispersion in children with secundum atrial septal defect. Ann Noninvasive Electrocardiol 6 (2001) 305-309
28. Guray U., Guray Y., Yylmaz M.B., Mecit B., Sasmaz H., Korknaz S., et al. Evaluation of P wave duration and P wave dispersion in adult patients with secundum atrial septal defect during normal sinus rhythm. Int J Cardiol 91 (2003) 75-79
29. Dogan A., Acar G., Gedikli O., Ozaydin M., Nazli C., Altinbas A., et al. A comparison of P-wave duration and dispersion in patients with short-term and long-term atrial fibrillation. J Electrocardiol 36 (2003) 251-255
30. Altunkeser B.B., Ozdemir K., Gok H., Temizhan A., Tokac M., and Karabag T. Can P wave parameters obtained from 12-lead surface ECG be a predictor for atrial fibrillation in patients who have structural heart disease?. Angiology 54 (2003) 475-479
31. Wong T., Davlouros P.A., Li W., Millington-Sanders C., Francis D.P., and Gatzoulis M.A. Mechano-electrical interaction late after Fontan operation: relation between P-wave duration and dispersion, right atrial size, and atrial arrhythmias. Circulation 109 (2004) 2319-2325
32. Guray U., Guray Y., Mecit B., Yilmaz M.B., Sasmaz H., and Korkmaz S. Maximum p wave duration and p wave dispersion in adult patients with secundum atrial septal defect: the impact of surgical repair. Ann Noninvasive Electrocardiol 9 (2004) 136-141
33. Dogan A., Avsar A., and Ozturk M. P-wave dispersion for predicting maintenance of sinus rhythm after cardioversion of atrial fibrillation. Am J Cardiol 93 (2004) 368-371
34. Hallioglu O., Aytemir K., and Celiker A. The significance of P wave duration and P wave dispersion for risk assessment of atrial tachyarrhythmias in patients with corrected tetralogy of Fallot. Ann Noninvasive Electrocardiol 9 (2004) 339-344
35. Inamura N., Matsushita T., Fukunami M., Sano T., Takeuchi M., Kurotobi S., et al. P wave signal averaged electrocardiography in patients undergoing the Fontan operation. J Cardiol 39 (2002) 101-107
36. Tuzcu V., Ozkan B., Sullivan N., Karpawich P., and Epstein M.L. P wave signal-averaged electrocardiogram as a new marker for atrial tachyarrhythmias in postoperative Fontan patients. J Am Coll Cardiol 36 (2000) 602-607
37. Watson R.M., and Josephson M.E. Atrial flutter. I. Electrophysiologic substrates and modes of initiation and termination. Am J Cardiol 45 (1980) 732-741
38. Tanigawa M., Fukatani M., Konoe A., Isomoto S., Kadena M., and Hashiba K. Prolonged and fractionated right atrial electrograms during sinus rhythm in patients with paroxysmal atrial fibrillation and sick sinus node syndrome. J Am Coll Cardiol 17 (1991) 403-408
39. Dilaveris P.E., and Gialafos J.E. P-wave duration and dispersion analysis: methodological considerations. Circulation 103 (2001) E111-1