Transposition with atrial switch and risk of sudden death: Submitted by Marc G. Cribbs, MD, FACC

Seshadri Balaji, Ravi Mandapati, Gary D. Webb

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

In a patient with systemic ventricular dysfunction who has undergone atrial switch (Mustard/Senning operation) 1. Consider persistent or recurrent tachyarrhythmia as a potential cause of the ventricular dysfunction; 2. If the QRS duration is prolonged then consider biventricular pacing using a hybrid approach; 3. If the QRS duration is narrow, there is no benefit to CRT and, as long as there is no indication to pace, a S-ICD is the best option; 4. Antiarrhythmic agents other than β-blockers have little benefit in the treatment of nonsustained VT.

Original languageEnglish (US)
Title of host publicationArrhythmias in Adult Congenital Heart Disease
Subtitle of host publicationA Case-Based Approach
PublisherElsevier
Pages47-51
Number of pages5
ISBN (Electronic)9780323485685
ISBN (Print)9780323496094
DOIs
StatePublished - Jan 1 2018

Keywords

  • AV node reentry tachycardia
  • Cardiac resynchronization therapy
  • Senning operation
  • Subcutaneous defibrillator
  • Sudden cardiac death
  • Transposition of the great arteries

ASJC Scopus subject areas

  • Medicine(all)

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