TY - JOUR
T1 - AV nodal ablation in tricuspid atresia; anatomical challenges
AU - Munro, Jeffrey
AU - Chandrasekaran, Krishnaswamy
AU - Srivathsan, Komandoor
N1 - Publisher Copyright:
© 2016 Indian Heart Rhythm Society
PY - 2016/5/1
Y1 - 2016/5/1
N2 - 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-bundle recording and successful ablation after identification of the His-bundle recording from a left sided approach. Although a left sided approach is feasible, an anatomically guided right sided approach to ablate the compact AV node may be preferred.
AB - 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-bundle recording and successful ablation after identification of the His-bundle recording from a left sided approach. Although a left sided approach is feasible, an anatomically guided right sided approach to ablate the compact AV node may be preferred.
UR - http://www.scopus.com/inward/record.url?scp=84992170523&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84992170523&partnerID=8YFLogxK
U2 - 10.1016/j.ipej.2016.08.008
DO - 10.1016/j.ipej.2016.08.008
M3 - Article
AN - SCOPUS:84992170523
SN - 0972-6292
VL - 16
SP - 102
EP - 103
JO - Indian Pacing and Electrophysiology Journal
JF - Indian Pacing and Electrophysiology Journal
IS - 3
ER -