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

Abstract

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.