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伴有心外膜成分的房顶依赖型心房扑动:房间隔肺静脉束的作用

Roof-dependent atrial flutter with an epicardial component: Role of the septopulmonary bundle.

作者信息

Garcia Fermin, Enriquez Andres, Arroyo Alonso, Supple Gregory, Marchlinski Francis, Saenz Luis

机构信息

Section of Cardiac Electrophysiology, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA.

Division of Cardiology, Queen's University, Kingston, Ontario, Canada.

出版信息

J Cardiovasc Electrophysiol. 2019 Jul;30(7):1159-1163. doi: 10.1111/jce.13885. Epub 2019 Mar 5.

Abstract

Catheter ablation of atrial fibrillation may predispose patients to the development of atypical atrial flutters (AFL). We describe two cases of roof dependent AFLs that failed to terminate despite posterior wall isolation. An epicardial breakthrough involving the septopulmonary bundle is proposed. The correlation between the electrophysiological findings and the anatomical substrate is described.

摘要

房颤导管消融术可能使患者易发生非典型房扑(AFL)。我们描述了两例依赖于房顶的房扑病例,尽管进行了后壁隔离,但仍未能终止。提出了一种涉及间隔肺静脉束的心外膜突破。描述了电生理发现与解剖学基质之间的相关性。

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