[Ablation of incisional right atrial tachycardia with critical region between surgical scar and crista terminalis in a patient with corrected transposition of great arteries after correction of Fallot-like pentalogy, Ebstein-like tricuspid valve anomaly and WPW syndrome].
In a 14 year old boy with corrected transposition of great arteries after correction of Fallot-like pentalogy, Ebstein-like tricuspid valve anomaly and WPW syndrome that was treated surgically, atrial tachycardia (AT) 260-280 ms was diagnosed and ablated. Due to earlier therapy it was impossible to insert catheters through femoral veins, and a subclavian and carotid veins access was used. The arrhythmia was a peri-incisional right AT. The isthmus was diagnosed with the use of entrainment pacing between a scar near VCI and the surgical incision along crista terminalis. Application in that region terminated AT and it was not inducible after the procedure.
Szumowski
Łukasz
Ł
Instytut Kardiologii, ul. Alpejska 42, 04-628 Warszawa. lszumowski@ikard.pl
Walczak
Franciszek
F
Rózański
Jacek
J
Szufladowicz
Ewa
E
Szufladowicz
Maria
M
Bodalski
Robert
R
Konka
Marek
M
Derejko
Paweł
P
Orczykowski
Michał
M
Hoffman
Piotr
P
D000293:Adolescent; D006348:Cardiac Surgical Procedures / Q000379:methods; D017115:Catheter Ablation / Q000379:methods*; D002921:Cicatrix / Q000209:etiology*; D003420:Crisscross Heart / Q000150:complications* / Q000601:surgery*; D004437:Ebstein Anomaly / Q000150:complications* / Q000601:surgery*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D013612:Tachycardia, Ectopic Atrial / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D013771:Tetralogy of Fallot / Q000150:complications* / Q000601:surgery*; D014188:Transposition of Great Vessels / Q000150:complications* / Q000601:surgery*; D014261:Tricuspid Valve / Q000002:abnormalities* / Q000601:surgery*; D014927:Wolff-Parkinson-White Syndrome / Q000150:complications* / Q000175:diagnosis