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右心室双出口手术修复术后患者大折返性室性心动过速的点状导管消融术

Point catheter ablation of macro-re-entrant ventricular tachycardia in a patient after surgical repair for double-outlet right ventricle.

作者信息

Izumi Gaku, Yokoshiki Hisashi, Takeda Atsuhito

机构信息

1Department of Pediatrics,Hokkaido University Graduate School of Medicine,North-15 West-7,Sapporo,060-8638Japan.

2Departments of Cardiovascular Medicine,Hokkaido University Graduate School of Medicine,North-15 West-7,Sapporo,060-8638Japan.

出版信息

Cardiol Young. 2017 Jul;27(5):996-999. doi: 10.1017/S1047951116002717. Epub 2017 Jan 12.

DOI:10.1017/S1047951116002717
PMID:28077188
Abstract

Catheter ablation of ventricular tachycardia is often difficult in patients after surgery for CHD. In patients with a ventricular septal defect patch, it is necessary to decide which ventricular side is appropriate for catheter ablation. In this article, we report a case of successful point catheter ablation of re-entrant ventricular tachycardia. Identification of the ventricular septal defect patch using intra-cardiac echocardiography was useful.

摘要

对于冠心病手术后的患者，室性心动过速的导管消融往往很困难。对于有室间隔缺损补片的患者，必须确定哪一侧心室适合进行导管消融。在本文中，我们报告了一例成功进行折返性室性心动过速点状导管消融的病例。使用心内超声心动图识别室间隔缺损补片很有用。

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引用本文的文献

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Successful ablation of ventricular tachycardia in which resected infundibular septum served as a critical isthmus in a patient with double-outlet right ventricle after Rastelli surgery.在一名接受Rastelli手术后的右心室双出口患者中，成功消融室性心动过速，其中切除的漏斗间隔作为关键峡部。
HeartRhythm Case Rep. 2025 May 14;11(8):746-751. doi: 10.1016/j.hrcr.2025.05.012. eCollection 2025 Aug.
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Ablation for idiopathic left ventricular tachycardia in a patient with double outlet right ventricle who underwent Fontan operation: a case report.法洛四联症患者接受Fontan手术后特发性左心室心动过速的消融治疗：一例报告
Eur Heart J Case Rep. 2020 Sep 7;4(5):1-6. doi: 10.1093/ehjcr/ytaa264. eCollection 2020 Oct.