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[法洛四联症矫正术后患者晚期室性心动过速的射频消融术]

[Radiofrequency ablation of late ventricular tachycardia in patients with corrected Tetralogy of Fallot].

作者信息

Rojel Ulises, Cuesta Alejandro, Mont Lluís, Brugada Josep

机构信息

Sección de Arritmias, Instituto de Enfermedades Cardiovasculares, Hospital Clínico Universitario, Universidad de Barcelona.

出版信息

Arch Cardiol Mex. 2003 Oct-Dec;73(4):275-9.

Abstract

We present the cases of two patients with surgical repaired Tetralogy of Fallot and late ventricular tachycardia. In one patient, the ventricular tachycardia had a right bundle branch block pattern, and in the other, a left bundle branch block pattern. In both patients a macroreentrant circuit in the right ventricular outflow tract was documented; radiofrequency ablation was effective in both cases. This suggests that the morphology of the ventricular tachycardia in these patients could depend of the direction of the circuit into the right ventricular outflow tract and that mapping of this zone allows to localize the appropriate site for effective ablation.

摘要

我们报告了两例法洛四联症手术修复后发生晚期室性心动过速的患者病例。其中一例患者的室性心动过速呈右束支传导阻滞图形,另一例呈左束支传导阻滞图形。在这两例患者中均记录到右心室流出道的大折返环路;射频消融在两例中均有效。这表明这些患者室性心动过速的形态可能取决于进入右心室流出道的环路方向,并且对该区域进行标测有助于定位有效的消融部位。

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