학술논문

Successful Catheter Ablation and Documentation of the Activation and Propagation Pattern During a Left Atrial Focal Tachycardia in a Patient with Cor Triatriatum Sinister.
Document Type
Case Study
Source
Journal of Cardiovascular Electrophysiology. Sep2010, Vol. 21 Issue 9, p1050-1054. 5p. 1 Color Photograph, 1 Black and White Photograph, 2 Diagrams.
Subject
*TACHYCARDIA treatment
*CARDIAC surgery
*CONGENITAL heart disease
*CATHETER ablation
*HEART atrium
*STRUCTURAL frame models
*TACHYCARDIA
*TOMOGRAPHY
*ETIOLOGY of diseases
*PATHOLOGICAL physiology
*SURGERY
Language
ISSN
1045-3873
Abstract
Atrial Tachycardia in Cor Triatriatum. We report a case of an atrial tachycardia (AT) originating from the left atrium (LA) associated with cor triatriatum sinister. Electroanatomical mapping of the 2 subdivided chambers of the LA during the AT revealed a centrifugal activation pattern from the posterior wall of the accessory chamber near the left superior pulmonary vein. The propagation map on the CARTO system revealed that the AT wave front spread centrifugally over the “accessory chamber,” turned around the edge of the membrane subdividing the LA, and then spread over the “main chamber.” A single radiofrequency application successfully abolished the AT. (J Cardiovasc Electrophysiol, Vol. 21, pp. 1050-1054, September 2010) [ABSTRACT FROM AUTHOR]