AI Article Synopsis
- Catheter ablation for patients with d-TGA involves detailed planning and understanding of their unique anatomy and previous surgical repairs.
- Understanding electroanatomic mapping and using entrainment techniques is crucial for successfully treating arrhythmias in these patients.
- In this case, alternative transhepatic venous access was used due to the absence of femoral venous access, and successful bidirectional block was achieved by creating ablation lesions along the cavotricuspid isthmus.
Article Abstract
Catheter ablation for patients with transposition of the great arteries (d-TGA) requires multiple considerations and careful preprocedural planning. Knowledge of the patient's anatomy and surgical correction, in addition to electroanatomic mapping and entrainment maneuvers, are important to identify and successfully treat arrhythmias. This case was unique in that the lack of femoral venous access required transhepatic venous access and bidirectional block was attained with ablation lesions along the cavotricuspid isthmus on both sides of the baffle.
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| http://dx.doi.org/10.1016/j.ccep.2015.10.028 | DOI Listing |
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