Postmaze atrial tachycardia: Case submitted by: Berardo Sarubbi, MD, PhD

Seshadri Balaji, Ravi Mandapati, Gary D. Webb

Research output: Chapter in Book/Report/Conference proceedingChapter


1. In ACHD patients with atrial arrhythmias, the goal of treatment should always be rhythm control rather than rate control. 2. Catheter ablation is an excellent option for the treatment of recurrent atrial arrhythmias in ACHD patients. 3. If an ACHD patient with an arrhythmia is a candidate for any form of cardiac surgery for their hemodynamic problem, they should be evaluated for intracardiac arrhythmia surgery such as a maze operation. Preoperative electrophysiology testing should be considered in order to determine the potential sites for intraoperative ablation/incisions. 4. Anticoagulation (preferably with warfarin, rarely with newer anticoagulants) should be considered in all ACHD patients with recurrent or persistent atrial arrhythmias.

Original languageEnglish (US)
Title of host publicationArrhythmias in Adult Congenital Heart Disease
Subtitle of host publicationA Case-Based Approach
Number of pages8
ISBN (Electronic)9780323485685
ISBN (Print)9780323496094
StatePublished - Jan 1 2018


  • 3-D mapping
  • Intra-atrial reentry tachycardia
  • Oral anticoagulation
  • Radiofrequency catheter ablation
  • Rate control
  • Surgical ablation

ASJC Scopus subject areas

  • General Medicine


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