Can intraatrial reentry be prevented by changes in surgical technique

被引:7
作者
Ebels, T
机构
[1] Department of Cardiothoracic Surgery, University Hospital Groningen, Groningen
[2] Dept. Cardiothoracic Surgery, University Hospital Groningen, 9700RB Groningen
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1997年 / 20卷 / 08期
关键词
cardiac surgery; atrial incision; atrial reentry tachycardia;
D O I
10.1111/j.1540-8159.1997.tb03640.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Intraatrial reentry tachycardias can be prevented by surgical technique. Crucial in prevention is not to create areas of slow conduction. Also, the integrity of the terminal crest appears to be essential for normal impulse propagation; at surgery the crest should preferably be left intact. The number of incisions in the atrium should be kept to an absolute minimum. One single incision is the best. Therefore, if is also better to cannulate the caval veins directly instead of using the right atrial auricle.
引用
收藏
页码:2118 / 2120
页数:3
相关论文
共 9 条
  • [1] SUSTAINED ATRIAL-FLUTTER AROUND THE TRICUSPID-VALVE IN PIGS - DIFFERENTIATION OF PROCAINAMIDE (CLASS-IA) FROM FLECAINIDE (CLASS-IC) AND THEIR RATE-DEPENDENT EFFECTS
    CRIJNS, HJGM
    DELANGEN, CDJ
    GRANDJEAN, JG
    BEL, KJ
    EBELS, T
    LIE, KI
    WESSELING, H
    [J]. JOURNAL OF CARDIOVASCULAR PHARMACOLOGY, 1993, 21 (03) : 462 - 470
  • [2] DELEVAL MR, 1988, J THORAC CARDIOV SUR, V96, P682
  • [3] EBELS T, 1992, INT CONGR SER, V985, P9
  • [4] ATRIAL REENTRY AROUND AN ANATOMIC BARRIER WITH A PARTIALLY REFRACTORY EXCITABLE GAP - A CANINE MODEL OF ATRIAL-FLUTTER
    FRAME, LH
    PAGE, RL
    HOFFMAN, BF
    [J]. CIRCULATION RESEARCH, 1986, 58 (04) : 495 - 511
  • [5] Lateral tunnel suture line variation reduces atrial flutter after the modified Fontan operation
    Gandhi, SK
    Bromberg, BI
    Rodefeld, MD
    Schuessler, RB
    Boineau, JP
    Cox, JL
    Huddleston, CB
    [J]. ANNALS OF THORACIC SURGERY, 1996, 61 (05) : 1299 - 1309
  • [6] KNOTTCRAIG CJ, 1989, J THORAC CARDIOVASC, V98, P719
  • [7] PUGA FJ, 1987, CIRCULATION, V76, P53
  • [8] ANATOMY OF THE TRICUSPID ANNULUS - CIRCUMFERENTIAL MYOFIBERS AS THE STRUCTURAL BASIS FOR ATRIAL-FLUTTER IN A CANINE MODEL
    RACKER, DK
    URSELL, PC
    HOFFMAN, BF
    [J]. CIRCULATION, 1991, 84 (02) : 841 - 851
  • [9] STARK J, 1994, SURGERY CONGENITAL H, P332