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Radiofrequency Catheter Ablation of Left Atrial Tachycardia Originating Within the Pulmonary Vein in a Patient with Dextrocardia
Author(s) -
HATALA ROBERT,
WEISS CHRISTIAN,
KOSCHYK DIETMAR H.,
SIEBELS JURGEN,
CAPPATO RICCARDO,
KUCK KARLHEINZ
Publication year - 1996
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1996.tb03400.x
Subject(s) - medicine , dextrocardia , cardiology , pulmonary vein , catheter ablation , atrial tachycardia , tachycardia , radiofrequency ablation , ablation , catheter , fluoroscopy , radiology
A case is presented of a 38‐year‐old male with dextrocardia in whom radiofrequency current ablation of an incessant atrial tachycardia originating within the infero‐lateral pulmonary vein was achieved. Activation mapping with detection of the earliest atrial activation was used for identification of the arrhythmogenic focus. In addition to fluoroscopy, trans‐ esophageal echocardiography was used for catheter guidance during the transseptal puncture. The present experience suggests that location of an arrhythmogenic focus within the pulmonary venous system should be considered whenever early atrial activation during ectopic atrial tachycardia is recorded at the junction between thfi left atrium and the pulmonary veins.