Open AccessUltra‐high density mapping of intra‐atrial reentrant tachycardia in a patient after a lateral tunnel total cavopulmonary connection
Author(s) -
Mori Hitoshi,
Sumitomo Naokata,
Muraji Shota,
Iwashita Noriyuki,
Kobayashi Toshiki,
Kato Ritsushi
Publication year - 2019
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1002/joa3.12238
Subject(s) - medicine , atrial tachycardia , connection (principal bundle) , cardiology , reentrancy , tachycardia , atrial fibrillation , catheter ablation , structural engineering , condensed matter physics , physics , engineering
We report a case of an 18‐year‐old male with a postsurgical lateral tunnel (LT) total cavopulmonary connection (TCPC) and supraventricular tachycardia (SVT). Patients after an LT TCPC have complicated suture lines and a considerable area of damaged myocardium in the LT, which could become a complex arrhythmogenic substrate of tachycardias. Detailed three‐dimensional (3D) mapping of the LT and atrium is important for a successful ablation. In this patient, successful catheter ablation of two types of complex tachycardias was accomplished using an ultra‐high density 3D mapping system inside the LT.