title: Use of multisite electroanatomic mapping to facilitate ablation of intra-atrial reentry following the Mustard procedure.
abstract: Ablation of intra-atrial reentrant tachycardia following Mustard or Senning procedures has low success rates. The Biosense Carto system was used to map intra-atrial reentry in a 22-year-old woman who had undergone a Mustard procedure. A line of block was created connecting a Mustard baffle suture line to the tricuspid valve annulus, which terminated the arrhythmia and prevented its reinitiation. Multisite electroanatomic mapping was invaluable in defining atrial anatomy and the intra-atrial reentrant pathway, and in creating a contiguous line of block. This mapping may improve ablation success rates in patients following the Mustard or Senning repair.
authors.affiliation: Heart Center for Children, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania 19134-1095, USA. ms64@drexel.edu
authors.forename: M C
authors.initials: MC
authors.lastname: Sokoloski
authors.forename: J C
authors.initials: JC
authors.lastname: Pennington
authors.forename: G J
authors.initials: GJ
authors.lastname: Winton
authors.forename: F E
authors.initials: FE
authors.lastname: Marchlinski
mesh_terms: D000328:Adult; D016275:Atrial Function; D006348:Cardiac Surgical Procedures; D017115:Catheter Ablation; D003936:Diagnosis, Computer-Assisted; D004568:Electrodiagnosis; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006801:Humans; D011183:Postoperative Complications; D013610:Tachycardia / Q000209:etiology* / Q000503:physiopathology* / Q000601:surgery