Accessory pathway ablation during atrial fibrillation in Ebstein anomaly
Autor: | Keishiro Yagyu, Haruhiko Abe, Masaharu Kataoka, Yasunobu Yamagishi, Hisaharu Ohe, Keita Tsukahara, Ritsuko Kohno, Yasushi Oginosawa, Taro Miyamoto |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Catheter ablation Accessory pathway Electrocardiography QRS complex Internal medicine Atrial Fibrillation medicine Humans cardiovascular diseases Aged 80 and over Heart Failure Cerebral infarction business.industry Atrial fibrillation General Medicine Ablation medicine.disease Accessory Atrioventricular Bundle Ebstein Anomaly Heart failure Catheter Ablation cardiovascular system Cardiology Female Wolff-Parkinson-White Syndrome Cardiology and Cardiovascular Medicine Complication business |
Zdroj: | Pacing and Clinical Electrophysiology. 45:431-434 |
ISSN: | 1540-8159 0147-8389 |
DOI: | 10.1111/pace.14404 |
Popis: | An 84-year-old woman with type B WPW with Ebstein anomaly was admitted with heart failure. She had rapid wide QRS tachcardia due to accessory pathway (AP) conduction associated with atrial fibrillation (AF). Since transesophageal echocardiography before catheter ablation showed a left atrial thrombus, ablation was performed using a 3D mapping system under AF. After marking the functional tricuspid anulus with intra-cardiac echocardiography, 3D intra-cardiac electrogram visualisation (ripple map) during AF enabled clear identification of location of the AP. After ablation, there was no complication of cerebral infarction, and the heart failure improved. This article is protected by copyright. All rights reserved. |
Databáze: | OpenAIRE |
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