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Ann Thorac Surg 1992;54:338-343
© 1992 The Society of Thoracic Surgeons

Articles

Surgical treatment for ectopic atrial tachycardia

Angelo Graffigna, MD*, Mario Vigano, MD, Francesco Pagani, MD, Giorgio Salerno, MD

Divisions of Cardiac Surgery and Cardiology, IRCCS Policlinico "S. Matteo," University of Pavia, Pavia, Italy

Accepted for publication January 24, 1992.

* Address reprint requests to Dr Graffigna, Divisione di Cardiochirurgia, IRCCS Policlinico S. Matteo, Piazzale Golgi 4, 27100 Pavia, Italy.

Atrial tachycardia is an infrequent but potentially dangerous arrhythmia which often determines cardiac enlargement. Surgical ablation of the arrhythmia is effective and safe, provided a careful atrial mapping is performed and the surgical technique is tailored to the individual focus location. Eight patients underwent surgical ablation of ectopic atrial tachycardia between 1977 and 1990. Different techniques were adopted for each patient according to the anatomical location of the focus and possibly associated arrhythmias. Whenever possible, a closed heart procedure was chosen. In 1 patient a double focal origin was found and treated by separate procedures. In 1 patient with ostium secundum atrial septal defect and atrial flutter, surgical isolation of the right appendage and the ectopic focus was performed. In all patients ectopic atrial tachycardia was ablated with maintenance of the sinoatrial and atrioventricular nodal function as well as internodal conduction. In follow-up up to December 1991, no recurrency was recorded.




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J. R. McGarvey, D. Schwartzman, T. Ota, and M. A. Zenati
Minimally Invasive Epicardial Left Atrial Ablation and Appendectomy for Refractory Atrial Tachycardia
Ann. Thorac. Surg., October 1, 2008; 86(4): 1375 - 1377.
[Abstract] [Full Text] [PDF]


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