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An original management of focal atrial tachycardia originating from a giant left atrial appendage  Stéphane Combes, MD, Jean Paul Albenque, MD, Nicolas.

Published byMaría Jesús Mendoza Modified over 5 years ago

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Presentation on theme: "An original management of focal atrial tachycardia originating from a giant left atrial appendage  Stéphane Combes, MD, Jean Paul Albenque, MD, Nicolas."— Presentation transcript:

1 An original management of focal atrial tachycardia originating from a giant left atrial appendage 
Stéphane Combes, MD, Jean Paul Albenque, MD, Nicolas Combes, MD, Serge Boveda, MD, Christelle Cardin, MD, Vlad Ciobotaru, MD, Issam Abouliatim, MD, PhD  HeartRhythm Case Reports  Volume 4, Issue 4, Pages (April 2018) DOI: /j.hrcr Copyright © 2017 Heart Rhythm Society Terms and Conditions

2 Figure 1 Twelve-lead electrocardiogram showing (A) a sinus rhythm after left atrial appendage exclusion and (B) a narrow QRS tachycardia with positive P waves in leads II-III-aVF-V2 to V6 and negative P waves in leads V1-I-aVL, suggesting a left atrial appendage origin. HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

3 Figure 2 A: Front view of a computed tomography scan reconstruction centered on the left atrial appendage (1), which had a volume comparable to that of the left atrium in this patient (2). B: Modeling of the giant left atrial appendage by the 3-dimensional printer. Measurement of the base of the left atrial appendage was done in order to choose the proper size of the AtriClip device. 1 = Left atrial appendage; 2 = left atrium; 3 = left pulmonary veins; and 4 = calibration clamp (AtriCure, Inc). HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

4 Figure 3 A: Focal atrial tachycardia originating from the left atrial appendage by the activation map (CARTO 3). B: Left thoracoscopic view of the AtriClip device (2) in place on the base of the left atrial appendage (1). HeartRhythm Case Reports 2018 4, DOI: ( /j.hrcr ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

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