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Acquired right atrial appendage to right ventricle accessory pathway in a lateral tunnel Fontan patient: Successful ablation via transconduit approach 

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Presentation on theme: "Acquired right atrial appendage to right ventricle accessory pathway in a lateral tunnel Fontan patient: Successful ablation via transconduit approach "— Presentation transcript:

1 Acquired right atrial appendage to right ventricle accessory pathway in a lateral tunnel Fontan patient: Successful ablation via transconduit approach  John Papagiannis, MD, FHRS, Anand Pillai, MD, Stephen Kaine, MD, Svjetlana Tisma-Dupanovic, MD  HeartRhythm Case Reports  Volume 1, Issue 6, Pages (November 2015) DOI: /j.hrcr Copyright © 2015 Heart Rhythm Society Terms and Conditions

2 Figure 1 A: Baseline electrocardiogram with manifest preexcitation consistent with a right anterolateral accessory pathway. B: Supraventricular tachycardia (SVT) consistent with orthodromic reciprocating tachycardia. HeartRhythm Case Reports 2015 1, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

3 Figure 2 A: Results of computed tomography of the chest, demonstrating the extracardiac conduit adjacent to the right atrium. B: Right atrial appendage angiogram (left) and corresponding catheter position at the site of successful ablation of accessory pathway. HeartRhythm Case Reports 2015 1, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

4 Figure 3 A: Successful ablation site with accessory pathway (AP) potential at the base of the right atrial appendage. B: Accessory pathway block during radiofrequency ablation. C: A 12-lead electrocardiogram, recorded 1 month post procedure, without preexcitation. HeartRhythm Case Reports 2015 1, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

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