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Successful catheter ablation of focal atrial tachycardia from the non-coronary aortic cusp
Author(s) -
M.J. Pekka Raatikainen,
Heikki V. Huikuri
Publication year - 2007
Publication title -
ep europace
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.119
H-Index - 102
eISSN - 1532-2092
pISSN - 1099-5129
DOI - 10.1093/europace/eum026
Subject(s) - medicine , cardiology , tachycardia , ablation , atrial tachycardia , catheter ablation , supraventricular tachycardia , bundle of his , electrocardiography , electrical conduction system of the heart
We describe a patient with frequent episodes of unusual paroxysmal supraventricular tachycardia. During the electrophysiological examination, the tachycardia was easily induced and terminated by atrial pacing. The earliest activation during right atrial activation mapping was located near the atrioventricular node and the His bundle. However, detailed mapping of the aortic root demonstrated that the local activation in the non-coronary aortic cusp preceded the activation at the His bundle region. Radiofrequency catheter ablation at this site terminated the tachycardia with no complications.

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