Treatment of Tachycardia and Bradycardia in a Persistent Left Superior Vena Cava Patient Who Underwent Warden's Procedure and Tricuspid Annuloplasty.
10.18501/arrhythmia.2016.012
- Author:
Youngjin CHO
1
Author Information
1. Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. cho_y@snubh.org
- Publication Type:Case Report
- Keywords:
Congenital Heart Defect;
Cardiac Surgical Procedures;
Atrial Flutter;
Catheter Ablation;
Artificial Pacemaker
- MeSH:
Atrial Flutter;
Bradycardia*;
Cardiac Surgical Procedures;
Catheter Ablation;
Cicatrix;
Female;
Heart Defects, Congenital;
Heart Septal Defects, Atrial;
Humans;
Middle Aged;
Pacemaker, Artificial;
Scimitar Syndrome;
Tachycardia*;
Tricuspid Valve Insufficiency;
Vena Cava, Superior*
- From:International Journal of Arrhythmia
2016;17(1):69-73
- CountryRepublic of Korea
- Language:English
-
Abstract:
53-year-old female was admitted to our institution with alternating atrial flutter and junctional bradycardia. The patient had undergone the Warden procedure to correct sinus venosus type atrial septal defect combined with partial anomalous pulmonary venous return, and ring tricuspid annuloplasty for severe tricuspid regurgitation. She also had persistent left superior vena cava (PLSVC). With the assistance of a 3D electroanatomic mapping system, catheter ablation therapy was used successfully to treat atrial flutter associated with a channel in the right atrial scar, and a pacemaker was implanted through the PLSVC because of resulting symptomatic bradycardia.
