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Updated: Jul 8, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
[Treatment of arrhythmias associated with congenital heart disease using transcatheter ablation]
Tamás Szili-Török1, Szabolcs Szeghy, Attila Kardos
1Gottsegen György Országos Kardiológiai Intézet, Budapest.
Insights
Transcatheter ablation effectively treats arrhythmias after congenital heart disease surgery. This curative procedure shows a high success rate with minimal complications, offering a promising alternative to medication.
Area of Science:
- Cardiology
- Electrophysiology
- Congenital Heart Disease
Context:
- Arrhythmias are common after surgical repair of congenital heart disease.
- Surgical scars contribute significantly to post-operative arrhythmias.
- Pharmacological therapy for these arrhythmias is often ineffective.
Purpose:
- To evaluate the experience with transcatheter ablation in patients with congenital heart disease.
- To assess the safety and efficacy of transcatheter ablation for post-surgical arrhythmias.
Summary:
- Transcatheter ablation was performed on 26 patients between 2004 and 2006.
- The procedure achieved a 92% success rate with no major complications.
- Minor complications occurred in 11% of patients, with a 11% recurrence rate requiring redo ablations.
Impact:
- Transcatheter ablation is a safe and effective curative option for arrhythmias post-congenital heart disease surgery.
- It offers a reasonable success rate and low complication profile.
- Recurrence rates are comparable to other electrophysiological interventions.
Unlabelled:
Rhythm disturbances are common long after surgical repair of congenital heart disease. These arrhythmias caused by the progression of the disease itself, however, a significant proportion is a result of the presence of surgical scar. Although interventional electrophysiology procedures are complex and encounter difficulties, pharmacological therapy is often very disappointing.
Aim And Methods:
In the present study we aimed to describe our experience obtained between 2004 and 2006 in patients undergoing transcatheter ablation long after surgery for congenital heart disease.
Results:
During this period 26 patients underwent catheter ablation. The procedure was successful in 24 out of the 26 patients (92%). Three patients required redo ablations due to arrhythmia recurrences (11%). There were no major complications related to the intervention. In four patients minor complications occurred (small hematomas).
Conclusions:
Our descriptive data indicate that transcatheter ablation for arrhythmias after surgery for congenital heart disease is a effective safe and more importantly curative procedure. It is associated with reasonable success rate, low complication rate, but slightly higher recurrence rate as compared to the classical electrophysiological interventions.
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