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Nonfluoroscopic Imaging as Guidance for Radiofrequency Ablation of Atrioventricular Nodal Reentrant Tachycardia after Mustard Repair.
Tex Heart Inst J ; 44(1): 58-61, 2017 Feb.
Article en En | MEDLINE | ID: mdl-28265215
ABSTRACT
Most tachycardias in the pulmonary venous atrium are inaccessible by direct means and require either a retrograde approach or a transseptal approach for ablation. We present a case in which successful radiofrequency ablation of common atrioventricular nodal reentrant tachycardia was accomplished via a retrograde transaortic approach guided by nonfluoroscopic mapping with use of the NavX™ mapping system. The patient was a 49-year-old woman who at the age of 4 years had undergone Mustard repair for complete dextrotransposition of the great arteries. Three-dimensional reconstructions of the ascending aorta, right ventricle, systemic venous atrium, left ventricle, and superior vena cava-inferior vena cava baffle complex were created, and the left-sided His bundle was marked. After a failed attempt at ablation from the systemic venous side, we eliminated the atrioventricular nodal reentrant tachycardia by ablation from the pulmonary venous side. This case is, to our knowledge, the first report of successful radiofrequency ablation of common atrioventricular nodal reentrant tachycardia after Mustard repair for this congenital cardiac malformation in which ablation was guided by 3-dimensional nonfluoroscopic imaging. This imaging technique enabled accurate anatomic location of the ablation catheters in relation to the His bundle marked from the systemic venous side.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Venas Pulmonares / Transposición de los Grandes Vasos / Taquicardia por Reentrada en el Nodo Atrioventricular / Ablación por Catéter / Técnicas Electrofisiológicas Cardíacas / Operación de Switch Arterial Tipo de estudio: Diagnostic_studies / Etiology_studies / Guideline / Prognostic_studies Idioma: En Revista: Tex Heart Inst J Año: 2017 Tipo del documento: Article

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Venas Pulmonares / Transposición de los Grandes Vasos / Taquicardia por Reentrada en el Nodo Atrioventricular / Ablación por Catéter / Técnicas Electrofisiológicas Cardíacas / Operación de Switch Arterial Tipo de estudio: Diagnostic_studies / Etiology_studies / Guideline / Prognostic_studies Idioma: En Revista: Tex Heart Inst J Año: 2017 Tipo del documento: Article