Russell M W, Dorostkar P C, Dick M, Craenen J, Franklin W, Armstrong B
Division of Pediatric Cardiology, University of Michigan, C.S. Mott Children's Hospital, Ann Arbor 48109-0204.
Pacing Clin Electrophysiol. 1995 Jan;18(1 Pt 1):113-6. doi: 10.1111/j.1540-8159.1995.tb02485.x.
Percutaneous catheter mapping and radiofrequency ablation of the AV node-His bundle system (with subsequent transvenous endocardial ventricular pacing) were performed on an 18-year-old woman with transposition of the great arteries and intact ventricular septum and chronic arrhythmias 15 years following a Mustard operation. Exclusion of the AV conduction tissue from the systemic venous circulation by the complex anatomy and the Mustard repair was circumvented by a retrograde approach across the aortic valve to the morphological right ventricle yielding access to the AV node-His bundle system.
对一名18岁患有大动脉转位且室间隔完整的女性患者进行了经皮导管标测及房室结 - 希氏束系统的射频消融术（随后进行经静脉心内膜心室起搏），该患者在Mustard手术后15年出现慢性心律失常。通过逆行途径经主动脉瓣进入形态学右心室，从而避开复杂解剖结构和Mustard修复术导致的房室传导组织被排除在体循环之外的情况，得以进入房室结 - 希氏束系统。
