Boolani Hemant, Madhu Reddy Yeruva, Baryun Esam, Barnds Brandon, Janga Pramod, Pamulapati Hema, Lakkireddy Dhanunjaya
Section of Electrophysiology, Division of Cardiology, Bloch Heart Rhythm Center, Mid America Cardiology, University of Kansas Hospital & Medical Center, Kansas City, KS 66160.
J Atr Fibrillation. 2012 Aug 20;5(2):522. doi: 10.4022/jafib.522. eCollection 2012 Aug-Sep.
Atrial arrhythmias are delayed manifestations after atrial switch procedures for d-transposition of the great arteries. Often times, these arrhythmias are intraatrial reentry tachycardias that arise in the pulmonary venous neo-atrium. Access and ablation in the pulmonary venous neo-atrium may require baffle puncture, risking damage to the baffle. We describe a case of neoatrial arrhythmia ablation in d-transposition of the great arteries using remote magnetic guided catheter navigation system using a retrograde approach without doing a baffle puncture.
房性心律失常是大动脉d型转位心房调转手术后的延迟表现。通常,这些心律失常是发生在肺静脉新心房的房内折返性心动过速。在肺静脉新心房进行通路建立和消融可能需要穿刺挡板,有损伤挡板的风险。我们描述了一例使用远程磁导航导管系统经逆行途径对大动脉d型转位患者进行新心房心律失常消融的病例,该过程未进行挡板穿刺。