Intra-atrial Reentrant Tachycardia in Complete Transposition of the Great Arteries Without Femoral Venous Access

Ryan T Borne; Joseph Kay; Thomas Fagan; Duy Thai Nguyen

doi:10.1016/j.ccep.2015.10.028

Intra-atrial Reentrant Tachycardia in Complete Transposition of the Great Arteries Without Femoral Venous Access

Card Electrophysiol Clin. 2016 Mar;8(1):197-200. doi: 10.1016/j.ccep.2015.10.028.

Authors

Ryan T Borne¹, Joseph Kay¹, Thomas Fagan¹, Duy Thai Nguyen²

Affiliations

¹ Cardiac Electrophysiology, University of Colorado, Denver, 12605 East 16th Avenue, Mailstop B136, Aurora, CO 80045, USA.
² Cardiac Electrophysiology, University of Colorado, Denver, 12605 East 16th Avenue, Mailstop B136, Aurora, CO 80045, USA. Electronic address: duy.t.nguyen@ucdenver.edu.

PMID: 26920194
DOI: 10.1016/j.ccep.2015.10.028

Abstract

Catheter ablation for patients with transposition of the great arteries (d-TGA) requires multiple considerations and careful preprocedural planning. Knowledge of the patient's anatomy and surgical correction, in addition to electroanatomic mapping and entrainment maneuvers, are important to identify and successfully treat arrhythmias. This case was unique in that the lack of femoral venous access required transhepatic venous access and bidirectional block was attained with ablation lesions along the cavotricuspid isthmus on both sides of the baffle.

Keywords: Atrial flutter; Catheter ablation; Hepatic venous access; d-TGA.

Publication types

Case Reports
Review

MeSH terms

Catheter Ablation*
Female
Hepatic Veins / surgery
Humans
Middle Aged
Tachycardia*
Transposition of Great Vessels / surgery*