Intraoperative mapping and radiofrequency ablation of the His bundle in a patient with complex congenital heart disease and intractable atrial arrhythmias following the Fontan operation.
Intraoperative mapping and radiofrequency ablation of the His bundle (with epicardial ventricular pacing) were performed in an 18-year-old woman with complex congenital heart disease and intractable chronic atrial arrhythmias following the Fontan operation. The presence of complex intracardiac anatomy as well as the exclusion of the atrioventricular conduction tissue from the systemic venous circulation strongly influenced the technical approach.
Urcelay
G
G
Division of Pediatric Cardiology, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor 48109.
Dick
M
M
Bove
E L
EL
Mosca
R
R
Dorostkar
P C
PC
Serwer
G A
GA
Campbell
R M
RM
Armstrong
B
B
D000293:Adolescent; D002036:Bundle of His / Q000503:physiopathology / Q000601:surgery*; D017115:Catheter Ablation; D004562:Electrocardiography; D005260:Female; D006325:Heart Atria; D006330:Heart Defects, Congenital / Q000150:complications / Q000601:surgery*; D006801:Humans; D007432:Intraoperative Period; D013617:Tachycardia, Supraventricular / Q000150:complications / Q000503:physiopathology / Q000601:surgery*