Correlative anatomy for the invasive electrophysiologist: Outflow tract and supravalvar arrhythmia

Research output: Contribution to journalReview article

94 Scopus citations

Abstract

Anatomy of Supravalvar Arrhythmia. Radiofrequency ablation in the outflow tract and great arteries is increasingly performed to treat a variety of symptomatic cardiac arrhythmias. The regional anatomy of these structures is among the most complex of those encountered by cardiac electrophysiologists. An exact appreciation of the relationships between these overlapping structures and their proximity to the coronary arterial and conduction system is essential for rational, safe, and effective ablation for these arrhythmias. A supravalvar portion of the aorta is a unique site for arrhythmia origin where the arrhythmogenic substrate for atrial arrhythmias, ventricular arrhythmias, and accessory pathways may all be located. Discussed in this review are the main principles of outflow tract and supravalvar arrhythmia, and these are correlated with fluoroscopy, electrograms, and electrocardiography that help guide the invasive electrophysiologist. (J Cardiovasc Electrophysiol, Vol. 20, pp. 955-968, August 2009)

Original languageEnglish (US)
Pages (from-to)955-968
Number of pages14
JournalJournal of cardiovascular electrophysiology
Volume20
Issue number8
DOIs
StatePublished - Aug 1 2009

Keywords

  • Ablation
  • Accessory pathways
  • Anatomy
  • Aortic valve
  • Atrial tachycardia
  • Pulmonary valve
  • Radiofrequency ablation
  • Semilunar valves
  • Ventricular tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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