Skip to main content
SpringerLink
Log in

Ablation of incessant orthodromic reciprocating tachycardia in a child with congenitally corrected transposition of great arteries and ebsteinoid malformation of left atrioventricular valve

  • CASE REPORT
  • Published:
Journal of Interventional Cardiac Electrophysiology Aims and scope Submit manuscript

Abstract

We report about a patient with congenitally corrected transposition of the great arteries and ebsteinoid malformation of left atrioventricular (AV) valve who presented with incessant orthodromic atrioventricular reciprocating tachycardia due to a left posteroseptal accessory pathway. Radiofrequency catheter ablation using trans-septal approach successfully eliminated the posteroseptal pathway across the morphologic tricuspid valve. This report highlights the importance of delineating the anatomy of the interatrial septum in complex congenital heart diseases for performing safe trans-septal puncture during ablation of accessory pathways.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Huhta, J. C., Maloney, J. D., Ritter, D. G., et al. (1983). Complete atrioventricular block in patients with atrioventricular discordance. Circulation, 67, 1374–1377.

    PubMed  CAS  Google Scholar 

  2. Fyler, D. C. (1992). Nadas’ pediatric cardiology pp. 701–708. St. Louis: Mosby-Year Book.

    Google Scholar 

  3. Daliento, L., Corrado, D., Buja, G., et al. (1986). Rhythm and conduction disturbances in isolated, congenitally corrected transposition of great arteries. The American Journal of Cardiology, 58, 314–318.

    Article  PubMed  CAS  Google Scholar 

  4. Brugada, J., Valls, V., Frexia, R., Gonzalez, E., Herreros, B., Matas, M., et al. (2000). Radiofrequency ablation of a posteroseptal atrioventricular pathway in a left sided tricuspid ring with Ebsteinlike anomaly in a patient with congenitally corrected transposition of the great arteries. PACE, 23, 133–136.

    PubMed  CAS  Google Scholar 

  5. Van Hare, G. F., Lesh, M. D., & Stanger, P. (1993). Radiofrequency catheter ablation of supraventricular arrhythmias in patients with congenital heart disease: Results and technical considerations. Journal of the American College of Cardiology, 22, 883–890.

    Article  PubMed  Google Scholar 

  6. Shah, P., Dwivedi, A., Downar, E., Waxman, M., & Cameron, D. (2004). Radiofrequency catheter ablation of a accessory pathway along morphologic tricuspid valve in a patient with congenitally corrected transposition of great arteries. Journal of Interventional Cardiac Elecrophysiology, 10, 171–174.

    Article  Google Scholar 

  7. Okreglicki, A. M., & Miller, R. S. (2000). Radiofrequency ablation of a posteroseptal atrioventricular accessory pathway in a left sided tricuspid ring with Ebsteinlike anomaly in a patient with congenitally corrected transposition of the great arteries. PACE, 23, 1707–1708.

    PubMed  CAS  Google Scholar 

  8. Juneja, R., Rowland, E., & Ho, S. (2002). Atrial morphology in hearts with congenitally corrected transposition of great arteries: Implications for the interventionalist. Journal of Cardiovascular Electrophysiology, 13, 158–163.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. CARE Hospitals, Lokmanya CARE, Sr No.314/B, Telco road, Chinchwad, Pune, Maharashtra, 411033, India

    Chandrakant Chavan & Rajesh S. Badani

  2. CARE Hospitals, Hyderabad, AP, India

    Hygriv B. Rao, P. Raghav Raju & C. Narasimhan

Authors
  1. Chandrakant Chavan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hygriv B. Rao
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Rajesh S. Badani
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. P. Raghav Raju
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. C. Narasimhan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Chandrakant Chavan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chavan, C., Rao, H.B., Badani, R.S. et al. Ablation of incessant orthodromic reciprocating tachycardia in a child with congenitally corrected transposition of great arteries and ebsteinoid malformation of left atrioventricular valve. J Interv Card Electrophysiol 23, 149–152 (2008). https://doi.org/10.1007/s10840-008-9283-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10840-008-9283-5

Keywords

Search

Navigation