Lower or Upper Approach; Catheter Ablation of Supraventricular Arrhythmia in a Patient with Azygos Continuation of Inferior Vena Cava
نویسنده
چکیده
The catheter ablation of supraventricular arrhythmias is generically performed via using a trans femoral venous approach through the inferior vena cava (IVC). However, this procedure becomes a subtle issue if there is a congenital or an acquired obstruction of the IVC. Here, we report a very particular case of slow pathway ablation for atrioventricular nodal reentrant tachycardia in a patient with an interrupted vena cava by virtue of the lower approach.
منابع مشابه
Successful radiofrequency ablation of a right posteroseptal accessory pathway through an anomalous inferior vena cava and azygos continuation in a patient with incomplete situs inversus.
We present a 43-year-old patient with paroxysmal supraventricular tachycardia. In the process of catheter ablation, we found interruption of the inferior vena cava with azygos continuation with incomplete situs inversus. In this patient, we adopted the lower approach via the anomalous inferior vena cava and azygos continuation to achieve stability of radiofrequency catheter for right posterosep...
متن کاملCatheter ablation of typical atrial flutter with the superior approach in a patient with inferior vena cava interruption
Inferior vena cava (IVC) interruption is a rare condition that might pose difficulties during typical flutter ablation. When azygos vein continuation is present ablation via the femoral route could be performed. In the absence of azygos vein continuation, typical atrial flutter ablation via a superior approach from the SVC is feasible.
متن کاملHeterotaxy syndrome and interrupted inferior vena cava (IVC) with azygos continuation
Heterotaxy syndrome or situs ambiguous is a rare congenital disease in which the pattern of anatomical organization of the thoraco-abdominal visceral and vascular structures is not arranged in normal position. Patients with heterotaxy syndrome represent a wide range of anatomical variations including thoraco-abdominal structures. Here we report a rare case of asymptomatic heterotaxy syndrome in...
متن کاملManagement of scar-related atrial flutter in a patient with dextrocardia, inferior vena cava interruption, and azygos continuation
Dextrocardia is detected in approximately 1 in 12,000 live births, and one-third of these have complete situs inversus (1). Dextrocardia has been reported to be associated with inferior vena cava (IVC) stenosis or interruption in 8%–18% of cases, and the anomalies of IVC can coexist with azygos continuation in approximately 0.6% of cases (2). We report a case of catheter ablation of scar-relate...
متن کاملSuccessful ablation of atrioventricular nodal re-entrant tachycardia in a patient with interruption of inferior vena cava and azygos continuation.
Congenital anomalies of the venous system are a challenge for cardiac catheterization and radiofrequency ablation. This article describes ablation of atrioventricular nodal re-entrant tachycardia performed solely through the azygos continuation in a patient with inferior vena cava interruption.
متن کامل