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老年未矫正型埃布斯坦畸形患者心房扑动的成功射频消融术

Successful Radiofrequency Ablation of an Atrial Flutter in an Elderly Patient With Uncorrected Ebstein's Anomaly.

作者信息

Rimawi Ahmad, Rimawi Asem

机构信息

School of Medicine, Jordan University Hospital, Amman, JOR.

Department of Cardiology, St. Vincet Hospital, Ascension Medical Group, Evansville, USA.

出版信息

Cureus. 2020 Dec 23;12(12):e12242. doi: 10.7759/cureus.12242.

Abstract

Ebstein's anomaly is a rare congenital heart disorder that causes displacement of the tricuspid valve towards the apex of the heart. Patients with this anomaly rarely survive beyond the age of 70 without surgical correction. When such patients survive till adulthood, they tend to present with atrial arrhythmias. Although radiofrequency ablation is harder to successfully complete due to disrupted anatomy of the heart, it can be the best choice for terminating arrhythmias in such patients. Here, we present a case of a 76-year-old patient with an uncorrected Ebstein's anomaly that presented with atrial flutter and was treated successfully with radiofrequency ablation.

摘要

埃布斯坦畸形是一种罕见的先天性心脏病,可导致三尖瓣向心尖移位。未经手术矫正的情况下,患有这种畸形的患者很少能活过70岁。当这类患者活到成年时,往往会出现房性心律失常。尽管由于心脏解剖结构紊乱,射频消融术更难成功完成,但它可能是终止这类患者心律失常的最佳选择。在此,我们报告一例76岁未矫正埃布斯坦畸形的患者,该患者出现心房扑动,并通过射频消融术成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66b2/7822633/f44839114be1/cureus-0012-00000012242-i01.jpg

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