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Aims: To recognize cardiac arrhythmias and conduction abnormalities in children who underwent a surgical repair for congenital heart disease.
Patients and Methods: One hundred thirty one (131) patients underwent a surgical repair of congenital heart disease between 2000-2018, and follow-up period after surgery was from two months to eighteen years and our data was collected over 1 year “2018” by interview both children and parents, sixty-four patients (48.8%) were a cyanotic congenital heart disease (ACCHD),sixty-seven patients(51.1%) were cyanotic congenital heart disease (CCHD), (41.9%) were female, (58.1%) were male. Cyanotic congenital heart disease more common in male. These patients were evaluated by ECG to detect conduction abnormalities and arrhythmias, Holter monitoring in symptomatic patient.
Results: Types of abnormal heart rhythm found out by ECG, Holter monitoring, significant premature atrial contraction (PAC) in one patient post fontain, atrial fibrillation in two patients with post-operative (ASD) repaired. RBBB occur in 53 patients and was most common among post-operative (TOF) repaired (37 patients). Frequent ventricular ectopic in one patient with postoperative (TOF) repaired. Atrial tachycardia in one patient with Epstein anomaly, WPW in two patients with Epstein anomaly, complete heart blook in five patients, four of them post operative VSD repaired, one post fontain operation. Symptomatic bradycardia needs pace maker in one patient post fontan operation.
Conclusions: The Patient after repair of congenital heart defect needed follow-up for detection of arrhythmias, those with complex defect need more frequent follow-up because they prone more to arrhythmia than those with simple defect with no residual defect.
Silka MJ, Hardy BG, Menashe VD, etal. A population based prospective evaluation of risk of sudden cardiac death after operation for common congenital heart defect. Jam. Coll Cordiol. 1998;32:245-251.
Trigo Trindade P. Lifelong specialised care of adults with congenital heart disease: a luxury or state of the art? Kardiovaskuläre Medizin. 2006;9:376–382.
Roos-Hesselink JW1, Meijboom FJ, Spitaels SE, van Domburg R, van Rijen EH, Utens EM,. Excellent survival and low incidence of arrhythmias, stroke and heart failure long-term after surgical ASD closure at young age. European Heart Journal. 2003;24:190–197.
Cuypers JA, Opić P, Menting ME, Utens EM, Witsenburg M, Helbing WA,et al.The unnatural history of an atrial septal defect: longitudinal 35 year follow up after surgical closure at young age. 2013;99(18):1346-52.
Constantine Mavroudis, MD, John M. Stulak, MD, Niv Ad, MD, et al, Prophylactic Atrial Arrhythmia Surgical Procedures with Congenital Heart Operations. (Ann Thorac Surg). 2015;99:352–9.
Goris Bol Raap, Folkert J, Meijboom A, Pieter Kappetein, Tjebbe W. Galema, Singh-Chien Yap, Ad JJC, Bogers. Long-term follow-up and quality of life after closure of ventricular septal defect in adults, European Journal of Cardio-Thoracic Surgery. 2007;32(2):215–219.
Roos-Hesselink JW, Meijbooma FJ, Spitaels SEC, van Domburg R et al. Outcome of patients after surgical closure of ventricular septal defect at young age. European Heart Journal. 2004;25:1057–1062.
Myrthe E. Menting, Judith AAE, Cuypers, Petra Opi, Elisabeth Utens MWJ et al. The Unnatural History of the Ventricular Septal Defect. J Am Soc Echocardiogr. 2051;6(5):1-8.
Chauhan S. Atrioventricular septal defects. Ann Card Anaesth. 2018;21:1-3.
Rohit K. Kharbanda, Nico A. Bloma, Mark G. Hazekamp, Pinar Yildiz, Barbara JM. Mulder. Incidence and risk factors of post-operative arrhythmias and sudden cardiac death after atrioventricular septal defect (AVSD) correction: Up to 47 years of follow-up. R.K. Kharbanda et al. / International Journal of Cardiology. 2018;252:88–93.
Maria Eulália Thebit Pfeiffer, Eduardo Machado Andrea, Salvador Manoel Serra, Claudio Roberto Assumpção. Late Clinical and Functional Assessment of Arrhythmias in Children after Repair of Tetralogy of Fallot. Arq Bras Cardiol. 2010;95(3):295-302.
Konstandina Kuzevska-Maneva, Rozana Kacarska, Beti Gurkova. Arrhythmias and conduction abnormalities in children after repair of tetralogy of Fallot; 2020. UDC: 616.12_039_053.1:616.12_008.318.
Jolien W. Roos-Hesselink, and Yusuf Karamermer. Significance of Postoperative Arrhythmias in Congenital Heart Disease. Pacing and Clinical Electrophysiology. 2008;31Suppl1(s1):S2-6.
Antonio Herna´ndez-Madrid, Thomas Paul, Dominic Abrams, Peter F. Azizmet Joanna Re˛ kawek, MD,a Andrzej Kansy, MD,b Maria Miszczak-Knecht, MD,a. Arrhythmias in congenital heart disease. European Society of Cardiology. Europace. 2018;0:1–35.
Paul Khairy,Seshadri Balaji. Cardiac Arrhythmias in Congenital Heart Diseases. Indian Pacing and Electrophysiology Journal. 2009;9(6):299-317.