What is the role of surgery in the treatment of pediatric atrial flutter?

Updated: Feb 04, 2019
  • Author: M Silvana Horenstein, MD; Chief Editor: Syamasundar Rao Patnana, MD  more...
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Answer

In patients with atrial flutter, surgical care may include one of the following procedures:

  • Correction of hemodynamic lesions that could be causing atrial volume loading

  • Specifically placed atrial incisions or cryoablation prophylactically to prevent atrial flutter

  • Empiric or map-directed lesions to eliminate documented atrial flutter and its circuits

These surgeries include various modifications and updates to maze procedures and modifications of the Mustard and Fontan procedures. One study reported that a right-sided maze procedure in patients with atrial flutter or fibrillation undergoing congenital heart disease repair significantly reduced arrhythmia recurrence at a mean of 2.7 y after surgery. [19]


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