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“Transseptal” Technique Through Atrial Baffles for 3-Dimensional Mapping and Ablation of Atrial Tachycardia in Patients with d-Transposition of the Great Arteries

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Abstract

Access to targets for radiofrequency ablation in patients with congenital heart disease may be limited by anatomy and by surgically placed obstacles. In patients with atrial switch anatomy for d-transposition of the great arteries, the critical isthmus for maintenance of intraatrial macroreentry circuits is found often on the pulmonary venous side of the atrial baffle. A retrograde approach is extremely difficult for these arrhythmias. Use of transseptal techniques for diagnostic catheterization in these patients has been reported. We report the use of a transseptal technique in two cases in conjunction with 3-dimensional electroanatomic mapping for the successful ablation of atrial reentry tachycardias in patients with Mustard and Senning anatomy.

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Authors and Affiliations

  1. Children's Hospital San Diego, University of California, San Diego, CA, USA

    James C. Perry (Children's Specialists of San Diego), Nicole K. Boramanand & Frank F. Ing

Authors
  1. James C. Perry
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  2. Nicole K. Boramanand
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  3. Frank F. Ing
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Correspondence to James C. Perry.

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Perry, J.C., Boramanand, N.K. & Ing, F.F. “Transseptal” Technique Through Atrial Baffles for 3-Dimensional Mapping and Ablation of Atrial Tachycardia in Patients with d-Transposition of the Great Arteries. J Interv Card Electrophysiol 9, 365–369 (2003). https://doi.org/10.1023/A:1027499512211

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  • DOI: https://doi.org/10.1023/A:1027499512211

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