Abstract
A 16 year old female with tricuspid atresia had undergone a Fontan operation at four years of age. Two years later she first presented with a narrow complex tachycardia which could only be partially controlled on flecainide in high doses. On electrophysiological study, the tachycardia was found to be due to atrioventricular re-entry within the surgical right atrial to right ventricular outflow tract anastomosis. Radiofrequency ablation at this site abolished the arrhythmia and she is now symptom-free on no medication.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anselme F., Saoudi N., Redonnet M., Letac B. Atrioatrial conduction after orthotopic heart transplantation. J Am Coll Cardiol. 1994 Jul;24(1):185–189. doi: 10.1016/0735-1097(94)90561-4. [DOI] [PubMed] [Google Scholar]
- Case C. L., Schaffer M. S., Dhala A. A., Gillette P. C., Fletcher S. E. Radiofrequency catheter ablation of an accessory atrioventricular connection in a Fontan patient. Pacing Clin Electrophysiol. 1993 Jul;16(7 Pt 1):1434–1436. doi: 10.1111/j.1540-8159.1993.tb01740.x. [DOI] [PubMed] [Google Scholar]
- Gewillig M., Wyse R. K., de Leval M. R., Deanfield J. E. Early and late arrhythmias after the Fontan operation: predisposing factors and clinical consequences. Br Heart J. 1992 Jan;67(1):72–79. doi: 10.1136/hrt.67.1.72. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Peters N. S., Somerville J. Arrhythmias after the Fontan procedure. Br Heart J. 1992 Aug;68(2):199–204. doi: 10.1136/hrt.68.8.199. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rothman S. A., Miller J. M., Hsia H. H., Buxton A. E. Radiofrequency ablation of a supraventricular tachycardia due to interatrial conduction from the recipient to donor atria in an orthotopic heart transplant recipient. J Cardiovasc Electrophysiol. 1995 Jul;6(7):544–550. doi: 10.1111/j.1540-8167.1995.tb00427.x. [DOI] [PubMed] [Google Scholar]