Left Atrial Appendectomy After Failed Catheter Ablation of a Focal Atrial Tachycardia Originating in the Left Atrial Appendage

被引：10

作者：

Pokushalov, Evgeny ^{[1
]}

Romanov, Alexandr ^{[1
]}

Artyomenko, Sergey ^{[1
]}

Arhipov, Alex ^{[1
]}

Karaskov, Alexandr ^{[1
]}

机构：

[1] State Res Inst Circulat Pathol, Novosibirsk 630055, Russia

来源：

PEDIATRIC CARDIOLOGY | 2010年 / 31卷 / 06期

关键词：

Catheter ablation; Focal atrial tachycardia; Left atrial appendage; RADIOFREQUENCY ABLATION; FIBRILLATION; RISK; SITE;

D O I：

10.1007/s00246-010-9737-2

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This report describes a case of left atrial appendectomy after a failed endocardial catheter ablation of a continuous drug-refractory left atrial appendage (LAA) tachycardia in a 9-year-old boy. Electrophysiologic study showed atrial tachycardia (AT) originating in the LAA. Numerous radiofrequency applications with an irrigated-tip catheter were ineffective. During surgery, direct pressure on the apex of the LAA by forceps immediately terminated the AT and restored sinus rhythm. After a left atrial appendectomy, the patient remained free of any arrhythmias during a follow-up period of 18 months.

引用

页码：908 / 911

页数：4

共 13 条

[1]

DEBAKKER JMT, 1994, J CARDIOVASC ELECTR, V5, P335

[2] Tale of two tails: The tip of the atrial appendages is an unusual site for focal atrial tachycardia [J].

Hillock, RJ ;

Singarayar, S ;

Kalman, JM ;

Sparks, PB .

HEART RHYTHM, 2006, 3 (04) :467-469

[3]

Ho SY, 1999, J CARDIOVASC ELECTR, V10, P1525

[4] RADIOFREQUENCY CATHETER ABLATION OF ATRIAL ARRHYTHMIAS - RESULTS AND MECHANISMS [J].

LESH, MD ;

VANHARE, GF ;

EPSTEIN, LM ;

FITZPATRICK, AP ;

SCHEINMAN, MM ;

LEE, RJ ;

KWASMAN, MA ;

GROGIN, HR ;

GRIFFIN, JC .

CIRCULATION, 1994, 89 (03) :1074-1089

[5] Percutaneous pericardial instrumentation for catheter ablation of focal atrial tachycardias arising from the left atrial appendage [J].

Phillips, Karen P. ;

Natale, Andrea ;

Sterba, Richard ;

Saliba, Walid I. ;

Burkhardt, J. David ;

Wazni, Oussama ;

Liberman, Leonardo ;

Schweikert, Robert A. .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2008, 19 (04) :430-433

[6] Radiofrequency ablation of a left appendage focal tachycardia using intracardiac ultrasound image integration to guide catheter: minimizing the risk of left appendage perforation [J].

Raczka, Franck . ;

Granier, Mathieu ;

Mathevet, Lydie ;

Davy, Jean Marc .

EUROPACE, 2009, 11 (09) :1253-1254

[7] Electrogram-guided radiofrequency catheter ablation of atrial tissue - Comparison with thermometry-guide ablation [J].

Schwartzman, D ;

Michele, JJ ;

Trankiem, CT ;

Ren, JF .

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2001, 5 (03) :253-266

[8] Percutaneous left atrial appendage transcatheter occlusion to prevent stroke in high-risk patients with atrial fibrillation - Early clinical experience [J].

Sievert, H ;

Lesh, MD ;

Trepels, T ;

Omran, H ;

Bartorelli, A ;

Della Bella, P ;

Nakai, T ;

Reisman, M ;

DiMario, C ;

Block, P ;

Kramer, P ;

Fleschenberg, D ;

Krumsdorf, U ;

Scherer, D .

CIRCULATION, 2002, 105 (16) :1887-1889

[9] USE OF P-WAVE CONFIGURATION DURING ATRIAL TACHYCARDIA TO PREDICT SITE OF ORIGIN [J].

TANG, CW ;

SCHEINMAN, MM ;

VANHARE, GF ;

EPSTEIN, LM ;

FITZPATRICK, AP ;

LEE, RJ ;

LESH, MD .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1995, 26 (05) :1315-1324

[10] Focal atrial tachycardia originating from the left atrial appendage: Electrocardiographic and electrophysiologic characterization and long-term outcomes of radiofrequency ablation [J].

Wang Yun-Long ;

Li Xue-Bin ;

Quan Xin ;

Ma Jin-Xin ;

Zhang Ping ;

Xu Yuan ;

Zhang Hai-Cheng ;

Guo Ji-Hong .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2007, 18 (05) :459-464

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