Pseudo typical atrial flutter occurring after cavotricuspid isthmus ablation in a patient with a prior history of Senning operation Naoki Yoshida, MD,

Slides:

Advertisements

Similar presentations

Volume 4, Issue 1, Pages (January 2007)

Advertisements

Radiofrequency Ablation for Atrial Tachycardia and Atrial Flutter

Incessant bundle branch reentrant ventricular tachycardia in a patient with corrected transposition of the great arteries Ken Kato, MD, Daigo Yagishita,

Successful ablation of premature ventricular contractions originating from the inferoseptal process of the left ventricle using a coronary sinus approach

Intraatrial reentrant tachycardia originating from the prior suture line of the baffle in a patient who underwent the Mustard operation: Ultra-high-density.

Radiofrequency ablation of typical atrial flutter with access through the azygos vein in a patient with heterotopia utilizing high-density electroanatomic.

Volume 11, Issue 1, Pages (January 2014)

Volume 13, Issue 10, Pages (October 2016)

HeartRhythm Case Reports

Atypical inferoseptal accessory pathway connection associated with an aneurysm of the coronary sinus: Insight from a three-dimensional combined image.

Peri–coronary sinus atrial flutter associated with prior slow pathway ablation Mitsunori Maruyama, MD, PhD, FHRS, Shunsuke Uetake, MD, PhD, Yasushi Miyauchi,

Successful catheter ablation of recipient left ventricular tachycardia 26 years after heterotopic heart transplantation Mikael Laredo, MD, Shaida Varnous,

A case of scar-related ventricular tachycardia demonstrating termination with nonglobal capture at the site of concealed entrainment with dual slow conduction.

Maged F. Nageh, MD,FHRS, Kamal Kotak, MD HeartRhythm Case Reports

Radiofrequency catheter ablation for drug-refractory paroxysmal atrial fibrillation in a patient with Ebstein’s anomaly Yong-Giun Kim, MD, Shin-Jae Kim,

Catheter ablation of atypical flutter using new 3-dimensional electroanatomic mapping software focusing on areas of conduction block Camilla Asferg,

Limitations of 12-lead electrocardiogram wide complex tachycardia algorithms in a patient with left atrial flutter and large myocardial infarction Carlos.

Claudio Hadid, MD, Sergio Gonzalez, MD, Jesús Almendral, MD, PhD

Preferential properties with decremental conduction of the Marshall vein between the coronary sinus and left superior pulmonary vein Toshiya Kurotobi,

Vein of Marshall partially isolated with radiofrequency ablation from the endocardium Shin Kashimura, MD, Takahiko Nishiyama, MD, Takehiro Kimura, MD,

Isolated Wolff-Parkinson-White syndrome in identical twins

Dual-loop biatrial concomitant macroreentrant tachycardia in a patient without previous history of surgery or ablation Song-Yun Chu, MD, Li-Bin Shi,

B-cell lymphoma of the pericardium presenting with ventricular tachycardia with a successful catheter ablation Takumi Yamada, MD, Franjo Siric, MD, Vishnu.

Right coronary artery wall edema provoked by cavotricuspid isthmus radiofrequency ablation Takuro Nishimura, MD, Masahiko Goya, MD, Shinya Shiohira,

Perimitral atrial flutter associated with a protected coronary sinus after a Maze IV procedure and concomitant mitral annulus repair Gaku Kanda, MD,

Microreentrant left atrial tachycardia circuit mapped with an ultra-high-density mapping system Fu Siong Ng, MRCP, PhD, Fernando Guerrero, BSc, Vishal.

Atrial fibrillation originating from recipient left atrium after an orthotopic heart transplantation Auroa Badin, MD, Jaret Tyler, MD, FHRS, Steven J.

Isolation of the conduction between the Marshall bundle and distal coronary sinus and the entire coronary sinus for an atrial tachycardia after catheter.

Bradley D. Brochu, MD, Ahmed Abdi-Ali, MD, Jeffrey Shaw, MD, F

Successful catheter ablation using real-time ultrasound-assisted 3-D electroanatomical mapping system for atrioventricular accessory pathway in a 1-year-old.

An unusual atrioventricular accessory pathway with an oblique course

Adenosine-sensitive atrial tachycardia originating from the anterior mitral annulus Dai Inagaki, MD, Rintaro Hojo, MD, Seiji Fukamizu, MD, PhD, Harumizu.

Cavotricuspid isthmus ablation using multimodality imaging in Ebstein anomaly with a mechanical tricuspid valve replacement Sang Hyun Lee, MD, Hyung.

Pseudo-conduction block at the mitral isthmus in a patient with epicardial impulse propagation through the vein of Marshall Rintaro Hojo, MD, Seiji Fukamizu,

Cardiac arrest in an adolescent with Uhl’s anomaly: Two unusual cardiac arrhythmia mechanisms Jeffrey P. Moak, MD, Gail D. Pearson, MD, ScD, Bradley.

Single-catheter validation of bidirectional block during atrial flutter ablation Piotr Futyma, MD, Marian Futyma, MD, PhD, Konrad Dudek, MD, Piotr Kułakowski,

Macroreentrant form of an adenosine 5′-triphosphate–sensitive atrial tachycardia arising from the vicinity of the atrioventricular node involving the.

Focal atrial fibrillation presenting in the origin of atrial tachycardia Chin-Yu Lin, MD, Yenn-Jiang Lin, MD, Fa-Po Chung, MD, Shih-Ann Chen, MD HeartRhythm.

Dual intraventricular response after cardiac resynchronization

Tina Baykaner, MD, MPH, Joshua M. Cooper, MD, FHRS

A case series and review of the literature regarding coronary artery complications associated with coronary sinus catheter ablation Paul J. Garabelli,

Volume 7, Issue 1, Pages 2-8 (January 2010)

Electroanatomical high-density mapping of different tachycardias in the right atrium after heart transplantation Alexandra Schratter, MD, Valentina Schirripa,

Atrial Tachycardia in a Patient With Fabry’s Disease

Subvalvular catheter ablation of the cavotricuspid isthmus in a patient with Ebstein's anomaly and tricuspid valve replacement Roberto G. Gallotti, MD,

Mapping of a postinfarction left ventricular aneurysm–dependent macroreentrant ventricular tachycardia Elad Anter, MD, Jianqing Li, MD, Cory M. Tschabrunn,

An unusual cause of lone atrial fibrillation in a young female subject due to a rapid- cycling focal atrial trigger Shankar Baskar, MD, Mehran Attari,

Biatrial flutter circuit involving an anomalous insertion of the Bachmann bundle into the superior vena cava Ely Gracia, MD, Roger Fan, MD, FHRS HeartRhythm.

Radiofrequency ablation of common atrial flutter via right subclavian/jugular vein access in a patient with bilateral lower limb venous obstruction: Importance.

Hiroko Asakai, MD, Laura Fenwick, BSc, Robert M. Hamilton, MD, FRCP(C)

Successful catheter ablation of idiopathic ventricular tachycardia originating from the top of the left ventricular posterior papillary muscle near the.

A case of an incision-related single-loop intra-atrial reentrant tachycardia showing an eccentric atrial activation sequence and widely separate potentials.

Utility of entrainment pacing to clarify the circuit of macroreentrant tachycardia with dual early sites on activation maps Koichi Nagashima, MD, PhD,

Abnormal atrial strain with speckle-tracking echocardiography predicts the arrhythmic substrate of atypical right atrial flutter Hiroshi Kawakami, MD,

Successful fluoroless ablation of an incessant atypical atrial flutter attributed to AtriClip usage during mini-MAZE surgery for persistent atrial fibrillation

Catheter ablation of the slow pathway as a treatment for severe sinus node dysfunction in a patient with incessant atrioventricular nodal reentry tachycardia

Radiofrequency ablation of ventricular tachycardia originating from a lipomatous hamartoma localized in the right ventricle cavity Jin Xu, PhD, Yingmin.

Peter Kabunga, MBChB, MRCP, George J. Klein, MD, FHRS, Raymond W

Nishaki Mehta, MD, Benjamin E. Peterson, MD, Roy M. John, MD, PhD

Clinical problem solving: Maneuvering around a narrow complex tachycardia in a patient with Mustard repair for transposition of the great arteries Nicholas.

Late atrial tachycardia originating from donor pulmonary vein in a double lung transplant recipient Kumar Sanam, MD, Daniel Holmes, RCIS, CCT, Dipak.

Getting to the right left atrium: Catheter ablation of atrial fibrillation and mitral annular flutter in cor triatriatum Ryan T. Borne, MD, Jaime Gonzalez,

Periesophageal vagal nerve injury following catheter ablation of atrial fibrillation: A case report and review of the literature Sandeep A. Saha, MD,

Two apparently remote types of ventricular tachycardia from a single right bundle branch focal source Jaromír Josiek, MD, Jaroslav Januška, MD, PhD,

HeartRhythm Case Reports

Catheter ablation for the treatment of persistent atrial fibrillation: Maintenance of sinus rhythm with left atrial appendage and coronary sinus isolation.

Left atrial access via an unroofed coronary sinus to eliminate fast/slow atypical AVNRT: A case report Gustavo X. Morales, MD, Yousef H. Darrat, MD,

Atrial flutter following ethanol infusion in the vein of Marshall

HeartRhythm Case Reports

Electrophysiological evidence of localized reentry as a trigger and driver of atrial fibrillation at the junction of the superior vena cava and right.

Presentation transcript:

Pseudo typical atrial flutter occurring after cavotricuspid isthmus ablation in a patient with a prior history of Senning operation Naoki Yoshida, MD, Takumi Yamada, MD HeartRhythm Case Reports Volume 1, Issue 2, Pages 54-57 (March 2015) DOI: 10.1016/j.hrcr.2014.12.005 Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 1 A: Twelve-lead electrocardiogram recorded during supraventricular tachycardia. B: Cardiac tracings showing supraventricular tachycardia with a cycle length of 220 ms and 2:1 atrioventricular conduction. ABLd (p) = the distal (proximal) electrode pair of the ablation catheter; Refs 1 to 5 = the first (distal) to fifth (proximal) electrode pairs of the reference catheter positioned in the systemic venous atrium. HeartRhythm Case Reports 2015 1, 54-57DOI: (10.1016/j.hrcr.2014.12.005) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 2 A: Activation map of the pulmonary venous atrium (PVA) and systemic venous atrium (SVA) during supraventricular tachycardia (SVT) exhibited a counterclockwise activation pattern along the tricuspid annulus (TA). Note that the total activation time was equal to the cycle length of SVT. Also note that the activation in the posterior wall of the right atrium propagated upward more quickly than along the tricuspid annulus, suggesting conduction block of the cavotricuspid isthmus at the posteroseptal aspect of the TA. The double line indicates the site of the conduction block line at the cavotricuspid isthmus. LAO = left anterior oblique projection; LAT = local activation time. B: Activation map of the PVA obtained during pacing from the reference catheter positioned in the inferior baffle of the SVA demonstrated cavotricuspid isthmus conduction block. The yellow asterisk indicates the pacing site. The double line indicates the site of the conduction block line at the cavotricuspid isthmus. C: A bipolar voltage map of the PVA and SVA obtained during sinus rhythm revealed a large intercaval scar on the right atrial posterior wall. RAO = right anterior oblique projection. HeartRhythm Case Reports 2015 1, 54-57DOI: (10.1016/j.hrcr.2014.12.005) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 3 A: Cardiac tracings recorded during sinus rhythm, exhibiting a delayed and fractionated atrial electrogram (arrows) recorded at the site where supraventricular tachycardia was terminated during mapping. B: Fluoroscopic images showing the successful ablation site (upper panels) and the angiogram of the Senning baffle, systemic venous atrium (middle panels), and pulmonary venous atrium (PVA) (lower panels). The dotted lines delineate the border of the PVA. Other abbreviations as in previous figures. HeartRhythm Case Reports 2015 1, 54-57DOI: (10.1016/j.hrcr.2014.12.005) Copyright © 2015 Heart Rhythm Society Terms and Conditions