Management of Atrial Arrhythmias Secondary to Severe Congenital Heart Disease with the Atrioverter

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 de...

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Bibliographic Details
Published in:Pacing and clinical electrophysiology 2000-07, Vol.23 (7), p.1181-1183
Main Authors: TIMMERMANS, CARL, RODRIGUEZ, LUZ‐MARIA, REUTER, DAVID, STAFFERS, JAN, BARENBRUG, PAUL J.C., CHERIEX, EMILE C., WELLENS, HEIN J.J.
Format: Article
Language:English
Subjects:
Adult
Atrial Fibrillation - etiology
Atrial Fibrillation - therapy
atrium
defibrillation
Defibrillators, Implantable
Equipment Design
fibrillation
heart defects
Heart Defects, Congenital - complications
Humans
Male
Transposition of Great Vessels - complications
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Summary: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
ISSN:0147-8389
1540-8159
DOI:10.1111/j.1540-8159.2000.tb00924.x