Anatomical Perspective on Radiofrequency Ablation of AV Nodal Reentry Tachycardia after Mustard Correction for Transposition of the Great Arteries

A case of radiofrequency catheter ablation of atrioventricular (AV) nodal reentry tachycardia, in a patient with transposition of the great arteries after venous rerouting according to Mustard, is described. An electroanatomical map of the His and AV nodal region was created from inside the systemic...

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Bibliographic Details
Published in:Pacing and clinical electrophysiology 2012-10, Vol.35 (10), p.e287-e290
Main Authors: JONGBLOED, MONIQUE R.M., KELDER, TIM P., DEN UIJL, DENNIS W., BARTELINGS, MARGOT M., MOLHOEK, SANDER G., TUKKIE, RAYMOND, SCHALIJ, MARTIN J.
Format: Article
Language:English
Subjects:
ablation
adults
anatomy
Anti-Arrhythmia Agents - therapeutic use
AV node
AVNRT
Blood Pressure - drug effects
Blood Pressure - physiology
Catheter Ablation - instrumentation
Catheter Ablation - methods
congenital heart disease
Electrocardiography
electrophysiology
Heart - anatomy & histology
Heart Rate - drug effects
Heart Rate - physiology
Humans
Male
Mustard correction
Tachycardia, Atrioventricular Nodal Reentry - drug therapy
Tachycardia, Atrioventricular Nodal Reentry - surgery
Transposition of Great Vessels - physiopathology
Transposition of Great Vessels - surgery
transposition of the great arteries
Treatment Outcome
Young Adult
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Description
Summary:A case of radiofrequency catheter ablation of atrioventricular (AV) nodal reentry tachycardia, in a patient with transposition of the great arteries after venous rerouting according to Mustard, is described. An electroanatomical map of the His and AV nodal region was created from inside the systemic venous atrium. Retrograde mapping of the pulmonary venous atrium was performed and the arterial catheter retracted to a position in close proximity to the venous catheter inside the intraatrial baffle. This position was chosen to deliver radiofrequency current. (PACE 2012; 35:e287–e290)
ISSN:0147-8389
1540-8159
DOI:10.1111/j.1540-8159.2010.02928.x