AV nodal ablation in tricuspid atresia; anatomical challenges

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AV nodal ablation in tricuspid atresia; anatomical challenges

Patients with congenital heart disease often present unique challenges, especially in the electrophysiology laboratory. Here we present a case of a patient with medically refractory symptomatic atrial tachycardia, tricuspid atresia and a history of a modified Fontan procedure. The approach of an AV node ablation for palliation in our patient was met with challenges in identification of a His-bu...

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The ability to cure atrioventricular (AV) nodal reentry with radiofrequency catheter ablation with preservation of antegrade conduction represents a significant clinical advance. It also provides an opportunity to better understand the pathophysiology of this fascinating arrhythmia. Two techniques have been developed for ablation of AV nodal reentry. The first to be described used lesions made ...

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Left ventricular dimensions and contractility were determined by echocardiography in 33 patients with tricuspid atresia in 1985 and again in 1988. Eight patients remained palliated throughout the 3-year period; neither the left ventricular end-diastolic diameter (153±15% of normal vs. 157+19%o, p=NS) nor a load-independent index of contractility (rate-corrected velocity of shortening [VCFc]/end...

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Background. The Fontan operation is the usual goal of therapy for children with tricuspid atresia. The influences of morphology and different management strategies on survival and subsequent suitability for this procedure are crucial but unstudied in an unselected population during the Fontan era. Methods and Results. The fates of 237 consecutive infants with tricuspid atresia were reviewed (19...

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ژورنال

عنوان ژورنال: Indian Pacing and Electrophysiology Journal

سال: 2016

ISSN: 0972-6292

DOI: 10.1016/j.ipej.2016.08.008