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A Transbaffle Approach to Ablation in a Child with an Extracardiac Fontan
Author(s) -
PASS ROBERT H.,
NAPPO LYNN,
EUGENIO PAUL,
LOPEZ LEO
Publication year - 2010
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.1540-8159.2009.02531.x
Subject(s) - medicine , supraventricular tachycardia , accessory pathway , cardiology , dextrocardia , asymptomatic , ventricle , radiofrequency ablation , ablation , corrected transposition , tachycardia , catheter ablation , radiology , great arteries
We present the case of an 11‐year‐old with D‐transposition, double inlet left ventricle, and dextrocardia 8 years following an extracardiac Fontan with supraventricular tachycardia mediated by a concealed accessory pathway. A transbaffle puncture was performed with fluoroscopic and transesophageal echocardiography guidance and the pathway location as well as its proximity to the HIS bundle were identified. The pathway was successfully ablated and the patient is asymptomatic for 12 months postablation. (PACE 2010; 33:368–371)