The electrophysiology of atrioventricular nodal reentry tachycardia following the Mustard or Senning procedure and its radiofrequency ablation
| Autor: | Jonathan R. Skinner, Anne M. Dubin, Kathryn K. Collins, Anne E. Greene, George F. Van Hare |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Tachycardia medicine.medical_specialty Adolescent Radiofrequency ablation Transposition of Great Vessels medicine.medical_treatment Nodal disease law.invention Electrocardiography law Internal medicine Humans Tachycardia Atrioventricular Nodal Reentry Medicine cardiovascular diseases Atrium (heart) business.industry Cardiac Pacing Artificial Infant General Medicine Ablation Atrioventricular node Electrophysiology Treatment Outcome medicine.anatomical_structure Fluoroscopy Pediatrics Perinatology and Child Health Catheter Ablation cardiovascular system Cardiology Senning Procedure medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Cardiology in the Young. 15:611 |
| ISSN: | 1467-1107 1047-9511 |
| Popis: | We describe the electrophysiological studies undertaken in four patients with atrioventricular nodal reentry tachycardia in the setting of concordant atrioventricular and discordant ventriculo-arterial connections (transposition). Radiofrequency ablation was attempted in three, all with success. Clear evidence of dual antegrade pathways through the atrioventricular node was present in only one of the four, but other characteristics of discrete fast and slow pathways into the atrioventricular node were present in all. Atrioventricular nodal reentry tachycardia was inducible in all. In the three patients in whom ablation was attempted, the application of radiofrequency energy to the low medial regions of the systemic venous atrium (morphologically left) consistently caused junctional accelerated rhythm, but these lesions were not successful in eliminating the tachycardia. Successful radiofrequency ablation required a retrograde approach to the region of the slow pathway in the pulmonary venous atrium (morphologically right). |
| Databáze: | OpenAIRE |
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