Radiofrequency Ablation of Atrial Fibrillation in Patients with Ebstein's Anomaly: A Two-Case Report
| Autor: | Rolf Borchard, Marc Bonsels, Konstantinos Iliodromitis, Anja Dorszewski |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Tachycardia medicine.medical_specialty Radiofrequency ablation medicine.medical_treatment 030204 cardiovascular system & hematology law.invention Pulmonary vein 03 medical and health sciences 0302 clinical medicine law Internal medicine Ebstein's anomaly Atrial Fibrillation medicine Humans Tachycardia Atrioventricular Nodal Reentry Pharmacology (medical) Sinus rhythm cardiovascular diseases 030212 general & internal medicine Aged Supraventricular arrhythmia business.industry Heart Atrial fibrillation Middle Aged medicine.disease Ablation Ebstein Anomaly Echocardiography Pulmonary Veins Catheter Ablation cardiovascular system Cardiology Female medicine.symptom Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
| Zdroj: | Cardiology. 139:33-36 |
| ISSN: | 1421-9751 0008-6312 |
| DOI: | 10.1159/000484039 |
| Popis: | Ebstein's anomaly (EA) is a rare congenital heart disease characterized by “atrialization” of the right ventricle, due to apical displacement of the tricuspid leaflets into the right ventricle. Patients with EA may develop all kinds of supraventricular arrhythmias requiring radiofrequency ablation. Atrial fibrillation (Afib) is a common arrhythmia in EA patients, and results in debilitating symptoms that often require surgical treatment. This is a follow-up report of 2 patients with EA undergoing radiofrequency ablation for Afib. The first patient underwent pulmonary vein isolation (PVI) and the ablation of a concomitant atrioventricular nodal reentrant tachycardia. The second patient was also treated with a PVI and a redo PVI 8 months later. Both patients remain in sinus rhythm 8 months on. Radiofrequency ablation is the therapy of choice for patients with pharmacological refractory Afib, but it is not common in patients with EA. |
| Databáze: | OpenAIRE |
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