A hybrid therapy for arrhythmogenic congestive cavity in a single ventricle

2020 ◽  
Author(s):  
Gaku Izumi ◽  
Hisashi Yokoshiki ◽  
Tsuyoshi Tachibana ◽  
Atsuhito Takeda
Keyword(s):  
Computed Tomography ◽  
Ventricular Tachycardia ◽  
Catheter Ablation ◽  
Right Ventricle ◽  
Single Ventricle ◽  
Pulmonary Atresia ◽  
Hybrid Therapy ◽  
Focal Pattern ◽  
Fontan Surgery ◽  
Activation Mapping

Abstract We describe a 15-year-old girl who underwent intraoperative catheter ablation for the ventricular tachycardia associated with Ebstein’s anomaly with functional pulmonary atresia and a small right ventricle (RV) after Fontan surgery. The computed tomography showed the dilated right atrium and RV due to the failure of RV plication. The activation mapping revealed that the ventricular tachycardia showed a focal pattern originating from the atrialized RV (aRV). With careful preparations, the procedure of catheter ablation combined with the adjustment of Starnes fenestration and plication of RV/atrialized RV was very effective for this patient.

Point ablation for macro-reentrant ventricular tachycardia associated with Ebstein’s anomaly and pulmonary atresia: a case report

2020 ◽  
pp. 1-3
Author(s):  
Keiko Toyohara ◽  
Yasuko Tomizawa ◽  
Morio Shoda
Keyword(s):  
Ventricular Tachycardia ◽  
Case Report ◽  
Catheter Ablation ◽  
Right Ventricle ◽  
Low Voltage ◽  
Pulmonary Atresia ◽  
Ebstein’S Anomaly ◽  
Ebstein's Anomaly ◽  
Slow Conduction ◽  
Hypoplastic Right Ventricle

Abstract We report a case with Ebstein’s anomaly and pulmonary atresia with sustained monomorphic ventricular tachycardia in a patient without a ventriculotomy history. In the low voltage area between the atrialised right ventricle and hypoplastic right ventricle, there was a ventricular tachycardia substrate and slow conduction. The tachycardia circuit was eliminated by a point catheter ablation at the area with diastolic fractionated potentials.

Surgical management of symptomatic neonates with Ebstein’s anomaly: choice of operation

2014 ◽  
Vol 25 (6) ◽  
pp. 1119-1123 ◽  
Author(s):  
Christopher J. Knott-Craig ◽  
Thittamaranahalli Kariyappa S. Kumar ◽  
Alejandro R. Arevalo ◽  
Vijaya M. Joshi
Keyword(s):  
Pulmonary Artery ◽  
Right Ventricle ◽  
Surgical Management ◽  
Single Ventricle ◽  
Pulmonary Atresia ◽  
Early Mortality ◽  
Ebstein’S Anomaly ◽  
Ebstein's Anomaly ◽  
Single Ventricle Palliation ◽  
Artery Conduit

AbstractObjective:Symptomatic neonates with Ebstein’s anomaly pose significant challenge. Within this cohort, neonates with associated anatomical pulmonary atresia have higher mortality. We review our experience with this difficult subset.Methods:A total of 32 consecutive symptomatic neonates with Ebstein’s anomaly underwent surgical intervention between 1994 and 2013. Of them, 20 neonates (62%, 20/32) had associated pulmonary atresia. Patients’ weights ranged from 1.9 to 3.4 kg. All patients without pulmonary atresia had two-ventricle repair. Of the 20 neonates, 16 (80%, 16/20) with Ebstein’s anomaly and pulmonary atresia had two-ventricle repair and 4 had single-ventricle palliation, of which 2 underwent Starnes’ palliation and 2 Blalock–Taussig shunts. Six recent patients with Ebstein’s anomaly and pulmonary atresia had right ventricle to pulmonary artery valved conduit as part of their two-ventricle repair.Results:Overall early mortality was 28% (9/32). For those without pulmonary atresia, mortality was 8.3% (1/12). For the entire cohort of neonates with Ebstein’s anomaly and pulmonary atresia, mortality was 40% (8/20; p=0.05). Mortality for neonates with Ebstein’s anomaly and pulmonary atresia having two-ventricle repair was 44% (7/16). Mortality for neonates with Ebstein’s anomaly and pulmonary atresia having two-ventricle repair utilising right ventricle to pulmonary artery conduit was 16% (1/6). For those having one-ventricle repair, the mortality was 25% (1/4).Conclusions:Surgical management of neonates with Ebstein’s anomaly remains challenging. For neonates with Ebstein’s anomaly and anatomical pulmonary atresia, single-ventricle palliation is associated with lower early mortality compared with two-ventricle repair. This outcome advantage is negated by inclusion of right ventricle to pulmonary artery conduit as part of the two-ventricle repair.

Natural History of Pulmonary Atresia With Intact Ventricular Septum and Right-Ventricle–Dependent Coronary Circulation Managed by the Single-Ventricle Approach

2006 ◽  
Vol 81 (6) ◽  
pp. 2250-2258 ◽  
Author(s):  
Kristine J. Guleserian ◽  
Laurie B. Armsby ◽  
Ravi R. Thiagarajan ◽  
Pedro J. del Nido ◽  
John E. Mayer
Keyword(s):  
Natural History ◽  
Right Ventricle ◽  
Single Ventricle ◽  
Coronary Circulation ◽  
Pulmonary Atresia ◽  
Ventricular Septum ◽  
Intact Ventricular Septum ◽  
History Of

scholarly journals Catheter ablation of ventricular tachycardia originating from a coronary arterial-right ventricle fistula:

EP Europace ◽  
2015 ◽  
Vol 17 (9) ◽  
pp. 1414-1414
Author(s):  
Hongde Hu ◽  
Jiong Li ◽  
Kaijun Cui
Keyword(s):  
Ventricular Tachycardia ◽  
Catheter Ablation ◽  
Right Ventricle

Point catheter ablation of macro-re-entrant ventricular tachycardia in a patient after surgical repair for double-outlet right ventricle

2017 ◽  
Vol 27 (5) ◽  
pp. 996-999 ◽  
Author(s):  
Gaku Izumi ◽  
Hisashi Yokoshiki ◽  
Atsuhito Takeda
Keyword(s):  
Ventricular Tachycardia ◽  
Catheter Ablation ◽  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Septal Defect ◽  
Surgical Repair ◽  
Double Outlet Right Ventricle

AbstractCatheter ablation of ventricular tachycardia is often difficult in patients after surgery for CHD. In patients with a ventricular septal defect patch, it is necessary to decide which ventricular side is appropriate for catheter ablation. In this article, we report a case of successful point catheter ablation of re-entrant ventricular tachycardia. Identification of the ventricular septal defect patch using intra-cardiac echocardiography was useful.

Low-energy electrical catheter ablation of sustained ventricular tachycardia originating from the right ventricle

1989 ◽  
Vol 117 (5) ◽  
pp. 1155-1157 ◽  
Author(s):  
Shinichi Niwano ◽  
Yoshifusa Aizawa ◽  
Masahito Satoh ◽  
Akira Shibata
Keyword(s):  
Ventricular Tachycardia ◽  
Catheter Ablation ◽  
Right Ventricle ◽  
Sustained Ventricular Tachycardia ◽  
Low Energy ◽  
The Right

Successful ablation of incessant idiopathic right ventricular tachycardia arising from unusual sites in children

2015 ◽  
Vol 26 (4) ◽  
pp. 764-771 ◽  
Author(s):  
Lin Wu ◽  
Hong Tian ◽  
Feng Wang ◽  
Xuecun Liang ◽  
Gang Chen
Keyword(s):  
Ventricular Tachycardia ◽  
Catheter Ablation ◽  
Right Ventricle ◽  
Right Ventricular ◽  
Case Series ◽  
Left Ventricular ◽  
Outflow Tract ◽  
Idiopathic Ventricular Tachycardia ◽  
Successful Ablation ◽  
The Right

AbstractObjectiveMost idiopathic right ventricular tachycardias originate from the outflow tract. We present a case series of idiopathic incessant ventricular tachycardia arising from unusual sites of the right ventricle in children, which were well resolved by catheter ablation.MethodsA retrospective review was performed of all three patients who underwent ablation of idiopathic ventricular tachycardia below the level of the right ventricular outflow tract using three-dimensional mapping in our institute.ResultAll three patients presented with tachycardia-induced cardiomyopathy due to incessant ventricular tachycardia on first admission. The sites of successful ablation were at the proximal right bundle branch, distal right bundle branch, and apex of the right ventricle, respectively. No complications occurred, and there has been no recurrence of ventricular tachycardia after the final ablation at an average follow-up period of 9 months. All three patients have achieved normalisation of left ventricular size and systolic function.ConclusionIncessant idiopathic ventricular tachycardia originating from unusual sites of the right ventricle in children, resulting in significant symptoms and impaired ventricular function, can be successfully treated with catheter ablation.

Radiofrequency catheter ablation of ventricular tachycardia from the right ventricle late after myocardial infarction

1996 ◽  
Vol 77 (14) ◽  
pp. 1261-1263 ◽  
Author(s):  
Jose L. Merino ◽  
Jesus Almendral ◽  
Julian P. Villacastín ◽  
Angel Arenal ◽  
Luis Tercedor ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Tachycardia ◽  
Catheter Ablation ◽  
Right Ventricle ◽  
Radiofrequency Catheter Ablation ◽  
The Right
Sign in / Sign up

Export Citation Format

Share Document