A hybrid therapy for arrhythmogenic congestive cavity in a single ventricle | Zendy

Gaku Izumi | Zendy; Hisashi Yokoshiki | Zendy; Tsuyoshi Tachibana | Zendy; Atsuhito Takeda | Zendy

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A hybrid therapy for arrhythmogenic congestive cavity in a single ventricle

Author(s) -

Gaku Izumi,

Hisashi Yokoshiki,

Tsuyoshi Tachibana,

Atsuhito Takeda

Publication year - 2020

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1093/ejcts/ezaa354

Subject(s) - medicine , fenestration , ventricle , cardiology , ebstein's anomaly , pulmonary atresia , ventricular tachycardia , catheter ablation , tachycardia , heart failure , catheter , atresia , ablation , surgery

We describe a 15-year-old girl who underwent intraoperative catheter ablation for the ventricular tachycardia associated with Ebstein’s anomaly with functional pulmonary atresia and a small right ventricle (RV) after Fontan surgery. The computed tomography showed the dilated right atrium and RV due to the failure of RV plication. The activation mapping revealed that the ventricular tachycardia showed a focal pattern originating from the atrialized RV (aRV). With careful preparations, the procedure of catheter ablation combined with the adjustment of Starnes fenestration and plication of RV/atrialized RV was very effective for this patient.

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