Presentation is loading. Please wait.

Presentation is loading. Please wait.

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

Published byTodd McGee Modified over 5 years ago

Similar presentations

Presentation on theme: "Pseudo typical atrial flutter occurring after cavotricuspid isthmus ablation in a patient with a prior history of Senning operation  Naoki Yoshida, MD,"— Presentation transcript:

1 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 (March 2015) DOI: /j.hrcr Copyright © 2015 Heart Rhythm Society Terms and Conditions

2 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: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

3 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: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

4 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: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

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

Similar presentations

Volume 4, Issue 1, Pages (January 2007)

Volume 4, Issue 1, Pages (January 2007)
Radiofrequency Ablation for Atrial Tachycardia and Atrial Flutter

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,

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 

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.

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.

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 11, Issue 1, Pages (January 2014)
Volume 13, Issue 10, Pages (October 2016)

Volume 13, Issue 10, Pages (October 2016)
HeartRhythm Case Reports

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

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,

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,

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.

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 

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,

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,

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.

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 

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,

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,

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

Similar presentations

Ads by Google