Abstract
We present a case of a 21-year-old female with congenitally corrected transposition of the great vessels and episodes of supraventricular tachycardia. We performed an electrophysiological study and successful ablation using an electro-anatomical mapping system. A single His bundle appeared to be located at the apex of the triangle of Koch and at electrophysiological study there was evidence of triple antegrade AV nodal pathways—slow, intermediate and fast, with two types of AV nodal re-entrant tachycardias. A series of radiofrequency ablations in the right posteroseptal area eliminated both slow and intermediate pathway conduction and cured the tachycardias.
This is a preview of subscription content, log in via an institution to check access.
References
Knight, P. B., Zivin, A., Souza, J., Flemming, M., Pelosi, F., Goyal, R., et al. (1999). Technique for the rapid diagnosis of atrial tachycardia in the electrophysiology laboratory. Journal of the American College of Cardiology, 33, 775–781.
Allwork, S. P., Bentall, H. H., Becker, A. E., Cameron, H., Gerlis, L. M., Wilkinson, J. L., et al. (1976). Congenitally corrected transposition of the great arteries: Morphologic study of 32 cases. American Journal of Cardiology, 38(7):910–923.
Juneja, R., Rowland, E., Ho, S. Y. (2002). Atrial morphology in hearts with congenitally corrected transposition of the great arteries: Implications for the interventionist. Journal of Cardiovascular Electrophysiology, 2002; 13(2):158–163.
Fischbach, P. S., Law, H. I., Serwer, G. S. (1999). Congenitally corrected l-transposition of the great arteries: Abnormalities of atrioventricular conduction. Progress in Pediatric Cardiology, 10:37–433.
Tada, H., Nogami, A., Naito, S., Suguta M, Hoshizaki H, Oshima S, et al. (1998). Selected slow pathway ablation in a patient with corrected transposition of the great arteries and atrioventricular nodal reentrant tachycardia. Journal of Cardiovascular Electrophysiology, 9(4):436–440.
Rudnick, A. G., Deger, F. T., Greenberg, R. M. (2006). Ablation of atrioventricular conduction in corrected transposition of the great arteries. Heart Rhythm, 3, 598–600.
Brugada, J., Valls, V., Freixa, R., Gonzalez, E., Herreros, B., Matas, M., et al. (2000). Radiofrequency ablation of a posteroseptal atrioventricular accessory pathway in a left-sided tricuspid ring with Ebstein-like anomaly in a patient with congenitally corrected transposition of the great arteries. Pacing and Clinical Electrophysiology, 23(1):133–136.
Shah, P., Dwivedi, A., Downar, E., Waxman, M., Cameron, D. (2004). Radiofrequency catheter ablation of a posteroseptal accessory pathway along the morphologic tricuspid valve in a patient with congenitally corrected transposition of the great arteries and complete atrioventricular block. Journal of Interventional Cardiology and Electrophysiology, 10(2):171–4.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Eisenberger, M., Fox, D.J., Earley, M.J. et al. Atrioventricular node reentrant tachycardia ablation in a patient with congenitally corrected transposition of the great vessels using the CARTO mapping system. J Interv Card Electrophysiol 19, 129–132 (2007). https://doi.org/10.1007/s10840-007-9144-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10840-007-9144-7