RÉSUMÉ
Management of symptomatic atrial tachycardia (AT) during pregnancy seems challenging, especially those originating from left atrial appendage (LAA), which easily tend to be incessant and mediate cardiomyopathy. It's contradictory between therapy and pregnancy. In this study, we report a case of a woman who presented with persistent AT, which lead to heart failure, during early pregnancy. She underwent successful catheter ablation using CartoSound and electroanatomic mapping without fluoroscopy. An electrophysiology (EP) study confirmed a focal LAA tachycardia. Soon after, left ventricular function of her heart normalized, and the patient successfully delivered a healthy child.
Sujet(s)
Auricule de l'atrium/chirurgie , Fibrillation auriculaire/chirurgie , Ablation par cathéter/méthodes , Complications cardiovasculaires de la grossesse/chirurgie , Adulte , Auricule de l'atrium/imagerie diagnostique , Fibrillation auriculaire/imagerie diagnostique , Électrocardiographie , Électrophysiologie , Femelle , Humains , Grossesse , Complications cardiovasculaires de la grossesse/imagerie diagnostiqueRÉSUMÉ
Abstract Management of symptomatic atrial tachycardia (AT) during pregnancy seems challenging, especially those originating from left atrial appendage (LAA), which easily tend to be incessant and mediate cardiomyopathy. It's contradictory between therapy and pregnancy. In this study, we report a case of a woman who presented with persistent AT, which lead to heart failure, during early pregnancy. She underwent successful catheter ablation using CartoSound and electroanatomic mapping without fluoroscopy. An electrophysiology (EP) study confirmed a focal LAA tachycardia. Soon after, left ventricular function of her heart normalized, and the patient successfully delivered a healthy child.