Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Heart and Vessels
Published in: Heart and Vessels 1/2012

01-01-2012 | Case Report

Catheter ablation of non-inducible atrial tachycardia after surgical repair of heart disease

Authors: Takeshi Tomita, Kazunori Aizawa, Takahiro Takeuchi, Kentaro Shimada, Ayako Okada, Megumi Koshikawa, Hiroki Kasai, Atsushi Izawa, Yusuke Miyashita, Setsuo Kumazaki, Jun Koyama, Uichi Ikeda

Published in: Heart and Vessels | Issue 1/2012

Login to get access

Abstract

We present a patient with non-inducible atrial tachycardia (AT) after atriotomy for surgical repair of heart disease who underwent ablation successfully. Using a 3-D mapping system, we presumed the atriotomy site on the lateral right atrial wall by searching for linear double potentials (DP) during sinus/paced rhythm from the coronary sinus, but it was evaluated incompletely. We could verify the edges of the atriotomy scar precisely by pacing from close to the linear DP lesion and the opposite site. After ablation between the presumed atriotomy scar and the inferior vena cava and cavotricuspid isthmus, no AT recurred without anti-arrhythmic drugs.
Literature
1.
Kalman JM, VanHare GF, Olgin JE, Saxon LA, Stark SI, Lesh MD (1996) Ablation of ‘incisional’ reentrant atrial tachycardia complicating surgery for congenital heart disease. Use of entrainment to define a critical isthmus of conduction. Circulation 93:502–512PubMed
2.
Baker BM, Lindsay BD, Bromberg BI, Frazier DW, Cain ME, Smith JM (1996) Catheter ablation of clinical intraatrial reentrant tachycardias resulting from previous atrial surgery: localizing and transecting the critical isthmus. J Am Coll Cardiol 28:411–417PubMedCrossRef
3.
Nakagawa H, Shah N, Matsudaira K, Overholt E, Chandrasekaran K, Beckman KJ, Spector P, Calame JD, Rao A, Hasdemir C, Otomo K, Wang Z, Lazzara R, Jackman WM (2001) Characterization of reentrant circuit in macroreentrant right atrial tachycardia after surgical repair of congenital heart disease: isolated channels between scars allow “focal” ablation. Circulation 103:699–709PubMed
4.
Magnin-Poull I, De Chillou C, Miljoen H, Andronache M, Aliot E (2005) Mechanisms of right atrial tachycardia occurring late after surgical closure of atrial septal defects. J Cardiovasc Electrophysiol 16:681–687PubMedCrossRef
5.
Love BA, Collins KK, Walsh EP, Triedman JK (2001) Electroanatomic characterization of conduction barriers in sinus/atrially paced rhythm and association with intra-atrial reentrant tachycardia circuits following congenital heart disease surgery. J Cardiovasc Electrophysiol 12:17–25PubMedCrossRef
6.
Akar JG, Kok LC, Haines DE, DiMarco JP, Mounsey JP (2001) Coexistence of type I atrial flutter and intra-atrial re-entrant tachycardia in patients with surgically corrected congenital heart disease. J Am Coll Cardiol 38:377–384PubMedCrossRef
7.
Aoyagi S, Arinaga K, Tomoeda H, Akasu K, Ueda T (2010) Heart valve surgery in octogenarians: operative and long-term results. Heart Vessels 25:522–528PubMedCrossRef
Metadata
Title
Catheter ablation of non-inducible atrial tachycardia after surgical repair of heart disease
Authors
Takeshi Tomita
Kazunori Aizawa
Takahiro Takeuchi
Kentaro Shimada
Ayako Okada
Megumi Koshikawa
Hiroki Kasai
Atsushi Izawa
Yusuke Miyashita
Setsuo Kumazaki
Jun Koyama
Uichi Ikeda
Publication date
01-01-2012
Publisher
Springer Japan
Published in
Heart and Vessels / Issue 1/2012
Print ISSN: 0910-8327
Electronic ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-011-0154-0

Other articles of this Issue 1/2012

Heart and Vessels 1/2012 Go to the issue

Original Article

Hypocellularity and insufficient expression of angiogenic factors in implanted autologous bone marrow in patients with chronic critical limb ischemia

Original Article

Difference of intensity and disparity in impact of climate on several vascular diseases

Original Article

Nitric oxide effects depend on different mechanisms in different regions of the rat heart

Original Article

Long-term results of the maze procedure on left ventricular function for persistent atrial fibrillation associated with mitral valve disease

Original Article

Effects of age on hemodynamic changes after transcatheter closure of atrial septal defect: importance of ventricular diastolic function

Original Article

Differentiation profile of peripheral blood-derived vascular progenitor cell predicts intimal hyperplasia after coronary stenting

ACC 2024 Congress Coverage

Heart Failure Video

Year in Review: Heart failure and cardiomyopathies

Watch now

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits