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下腔静脉先天性异常患者室上性心动过速的电生理研究及导管消融

Electrophysiologic study and catheter ablation of a supraventricular tachycardia in a patient with inferior vena cava congenital anomaly.

作者信息

Dragasis Stylianos, Mililis Panagiotis, Megarisiotou Athanasia, Bazoukis George, Saplaouras Athanasios, Mpatsouli Athena, Toulgaridis Fotios, Prappa Efstathia, Letsas Konstantinos P, Efremidis Michael

机构信息

Second Department of Cardiology, Laboratory of Cardiac Electrophysiology, "Evangelismos" General Hospital of Athens Greece.

出版信息

Am J Cardiovasc Dis. 2020 Oct 15;10(4):405-408. eCollection 2020.

PMID:33224591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7675164/
Abstract

Electrophysiologic procedures are performed widely nowdays, for the successful treatment of several cardiac arrhythmias. In this case report, we describe a rare congenital anomaly of the inferior vena cava, as an incidental finding during a scheduled electrophysiologic procedure for a supraventricular tachycardia ablation. The patient is a 32 year old male with an unremarkable medical history, suffering from sustained episodes of paroxysmal tachycardia. The electrophysiological maneuvers confirmed the presence of atrioventricular nodal reentry tachycardia, followed by a successful slow pathway ablation. We provide imaging details and guidance on the successful catheter positioning. In cases like this, the prognosis is excellent, while the follow up of our patient was unremarkable.

摘要

如今,电生理手术被广泛应用于多种心律失常的成功治疗。在本病例报告中,我们描述了一例罕见的下腔静脉先天性异常,这是在为一名室上性心动过速患者进行预定的电生理消融手术时偶然发现的。患者为一名32岁男性,病史无异常,患有持续性阵发性心动过速。电生理检查证实存在房室结折返性心动过速,随后成功进行了慢径消融。我们提供了成像细节以及成功导管定位的指导。在这类病例中,预后良好,我们患者的随访情况也无异常。

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Electrophysiologic study and catheter ablation of a supraventricular tachycardia in a patient with inferior vena cava congenital anomaly.下腔静脉先天性异常患者室上性心动过速的电生理研究及导管消融
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Multiplanar imaging of inferior vena cava variants.下腔静脉变异的多平面成像
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