Atrioventricular node reentrant tachycardia ablation in a patient with congenitally corrected transposition of the great vessels using the CARTO mapping system

J Interv Card Electrophysiol. 2007 Aug;19(2):129-32. doi: 10.1007/s10840-007-9144-7. Epub 2007 Aug 3.

Abstract

We present a case of a 21-year-old female with congenitally corrected transposition of the great vessels and episodes of supraventricular tachycardia. We performed an electrophysiological study and successful ablation using an electro-anatomical mapping system. A single His bundle appeared to be located at the apex of the triangle of Koch and at electrophysiological study there was evidence of triple antegrade AV nodal pathways--slow, intermediate and fast, with two types of AV nodal re-entrant tachycardias. A series of radiofrequency ablations in the right posteroseptal area eliminated both slow and intermediate pathway conduction and cured the tachycardias.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Blood Vessels / physiopathology
  • Body Surface Potential Mapping
  • Catheter Ablation
  • Congenital Abnormalities / physiopathology
  • Electrophysiologic Techniques, Cardiac
  • Female
  • Heart Conduction System / surgery
  • Humans
  • Radiosurgery
  • Tachycardia, Atrioventricular Nodal Reentry / etiology
  • Tachycardia, Atrioventricular Nodal Reentry / surgery*
  • Tachycardia, Supraventricular / etiology
  • Tachycardia, Supraventricular / surgery*
  • Transposition of Great Vessels / complications