Koen Selten, MD, Thomas J. Van Brakel, MD, PhD, Henry A

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Presentation transcript:

Mapping-guided total excision of the sinoatrial node for inappropriate sinus tachycardia Koen Selten, MD, Thomas J. Van Brakel, MD, PhD, Henry A. Van Swieten, MD, PhD, Joep L. Smeets, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 4, Pages e56-e58 (April 2014) DOI: 10.1016/j.jtcvs.2013.12.055 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Epicardial mapping. A, Bipolar atrial epicardial electrograms localized the earliest right atrial activation (red arrow) and identified the sinoatrial node area preexcision. B, Similarly, electrograms localized retrograde atrial activation (red arrow) after excision of the total sinoatrial node area. HR, Heart rate; ECG II, electrocardiographic lead II. The Journal of Thoracic and Cardiovascular Surgery 2014 147, e56-e58DOI: (10.1016/j.jtcvs.2013.12.055) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Endocardial mapping of the earliest atrial activation areas (A) and reconstruction of the right atrium after sinus node excision (B). P, Pericardium; ICV, inferior caval vein cannula; B, endoballoon for geometric reconstruction. The Journal of Thoracic and Cardiovascular Surgery 2014 147, e56-e58DOI: (10.1016/j.jtcvs.2013.12.055) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions