Arrhythmias in Congenital Heart Disease: Atrial Switch Operations.

Document Type

Article

Publication Date

12-2025

Identifier

DOI: 10.1016/j.ccep.2025.07.009

Abstract

Arrhythmias remain a frequent contributor to morbidity and mortality in patients following atrial switch operations for surgical management of dextro-transposition of the great arteries. Effective management of arrhythmias in this patient population requires thorough understanding of the arrhythmia types, substrates, and anatomic contributors and considerations. Prudent application of pharmacologic, ablative, and cardiac implantable electronic device treatment strategies is imperative. Despite treatment advancements, arrhythmia recurrence is unfortunately common and requires lifelong surveillance and management.

Journal Title

Card Electrophysiol Clin

Volume

17

Issue

4

First Page

605

Last Page

618

MeSH Keywords

Humans; Arrhythmias, Cardiac; Transposition of Great Vessels; Heart Defects, Congenital; Arterial Switch Operation

PubMed ID

41206174

Keywords

Adult congenital heart disease; Atrial arrhythmias; Atrial switch operations; Cardiac implantable electronic device; Catheter ablation; D-TGA; Mustard Operation; Senning Operation; Sinus node dysfunction; Ventricular arrhythmias

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