Arrhythmias & electrophysiology
Ventricular arrhythmias after fibroma resection: Are patients still at risk?
Authors' conclusion
Surgical resection of ventricular fibromas significantly reduces the risk of life-threatening arrhythmias in children; however, a small number of patients remain vulnerable.
Study context
- Population
- Children with ventricular fibromas undergoing surgical resection at one institution, 2000–2020
- Participants
- 46 children
- Outcome
- Recurrent VT/VF
- Follow-up
- ≥3 months after index surgical resection
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Freedom from clinical VT/VF · last follow-up (median 1.5 years; range 0.3-16.5 years)
Free of clinical ventricular tachycardia (VT)/ventricular fibrillation (VF)
45
98%
Observational data: associations, not effects.
Further findings
Early postoperative ventricular stimulation (V-stim) study (during index surgical hospitalization)
- Performed
- 26 (57%)
- Negative for inducible VT/VF
- all
Late postoperative V-stim study (≥3 months after surgery)
- Studies performed
- 13
- Positive
- 3
- Positive: Implantable cardioverter-defibrillator (ICD) implantation
- 2
- Positive: amiodarone and loop recorder implantation
- 1
Original publication
Ventricular arrhythmias after fibroma resection: Are patients still at risk? Heart Rhythm. Published 11 October 2022. doi:10. 1016/ j. hrthm. 2022. 10. 003
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