在一名三尖瓣闭锁患者中，通过电解剖标测引导进行房室结折返性心动过速的消融。
Ablation of atrioventricular nodal reentrant tachycardia in a patient with tricuspid atresia guided by electroanatomic mapping.
作者信息
Arana-Rueda Eduardo, Pedrote Alonso, Sánchez-Brotons Juan-Antonio, Frutos-López Manuel, Durán-Guerrero Manuel
机构信息
Arrhythmia Unit, Hospital Virgen del Rocío, Avda. Manuel Siurot s/n, Seville, Spain.
出版信息
Pacing Clin Electrophysiol. 2012 Oct;35(10):e293-5. doi: 10.1111/j.1540-8159.2010.02983.x. Epub 2010 Nov 22.
We describe a case of ablation of atrioventricular nodal reentrant tachycardia in a patient with tricuspid atresia and L-malposition of great vessels using an electroanatomical mapping system integrated with cardiac magnetic resonance imaging. Atrial activation mapping during tachycardia identified the retrograde fast pathway proximal to the His bundle, observed in the left interatrial septum. Ablation was successfully completed below this area. Map integration with the patient's anatomy allowed a safe, individualized procedure.
我们描述了一例使用与心脏磁共振成像相结合的电解剖标测系统，对一名患有三尖瓣闭锁和大动脉L型转位的患者进行房室结折返性心动过速消融的病例。心动过速期间的心房激动标测确定了希氏束近端的逆向快径路，位于左心房隔内。在该区域下方成功完成了消融。标测与患者解剖结构的整合实现了安全、个体化的手术。
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