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Pediatric Cardiology
Published in: Pediatric Cardiology 6/2010

01-08-2010 | Case Report

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

Authors: Evgeny Pokushalov, Alexandr Romanov, Sergey Artyomenko, Alex Arhipov, Alexandr Karaskov

Published in: Pediatric Cardiology | Issue 6/2010

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Abstract

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.
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Metadata
Title
Left Atrial Appendectomy After Failed Catheter Ablation of a Focal Atrial Tachycardia Originating in the Left Atrial Appendage
Authors
Evgeny Pokushalov
Alexandr Romanov
Sergey Artyomenko
Alex Arhipov
Alexandr Karaskov
Publication date
01-08-2010
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 6/2010
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-010-9737-2

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