Heart Rhythm
Volume 6, Issue 7 , Pages 949-956 , July 2009

Methods to access the surgically excluded cavotricuspid isthmus for complete ablation of typical atrial flutter in patients with congenital heart defects

Portions of the data in this report were presented by Dr. El Yaman at the 2007 Scientific Sessions of the American Heart Association.

  • Malek M. El Yaman, MD

      Affiliations

    • Division of Pediatric Cardiology, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota
    • Corresponding Author InformationAddress reprint requests and correspondence: Dr. Samuel J. Asirvatham, Division of Cardiovascular Diseases, Department of Internal Medicine and Division of Pediatric Cardiology, Department of Pediatric and Adolescent Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, Minnesota 55905
  • ,
  • Samuel J. Asirvatham, MD FHRS

      Affiliations

    • Division of Pediatric Cardiology, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota
    • Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, Minnesota
  • ,
  • Suraj Kapa, MD

      Affiliations

    • Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota
  • ,
  • Renee A. Barrett, RCIS

      Affiliations

    • Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, Minnesota
  • ,
  • Douglas L. Packer, MD FHRS

      Affiliations

    • Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, Minnesota
  • ,
  • Co-Burn Porter, MD

      Affiliations

    • Division of Pediatric Cardiology, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota

Received 14 January 2009 ,Accepted 6 March 2009.

References 

  1. Kaulitz R, Hofbeck M. Current treatment and prognosis in children with functionally univentricular hearts. Arch Dis Child. 2005;90:757–762
  2. Durongpisitkul K, Porter CJ, Cetta F, et al. Predictors of early- and late-onset supraventricular tachyarrhythmias after Fontan operation. Circulation. 1998;98:1099–1107
  3. Cecchin F, Johnsrude CL, Perry JC, et al. Effect of age and surgical technique on symptomatic arrhythmias after the Fontan procedure. Am J Cardiol. 1995;76:386–391
  4. Dos L, Teruel L, Ferreira IJ, et al. Late outcome of Senning and Mustard procedures for correction of transposition of the great arteries. Heart. 2005;91:652–656
  5. Flinn CJ, Wolff GS, Dick M, et al. Cardiac rhythm after the Mustard operation for complete transposition of the great arteries. N Engl J Med. 1984;310:1635–1638
  6. Asirvatham SJ. Correlative anatomy and electrophysiology for the interventional electrophysiologist. J Cardiovasc Electrophysiol. 2009;20:113–122
  7. Chan DP, Van Hare GF, Mackall JA, et al. Importance of atrial flutter isthmus in postoperative intra-atrial reentrant tachycardia. Circulation. 2000;102:1283–1289
  8. Collins KK, Love BA, Walsh EP, et al. Location of acutely successful radiofrequency catheter ablation of intraatrial reentrant tachycardia in patients with congenital heart disease. Am J Cardiol. 2000;86:969–974
  9. Delacretaz E, Ganz LI, Soejima K, et al. Multi atrial macro-reentry circuits in adults with repaired congenital heart disease: entrainment mapping combined with three-dimensional electroanatomic mapping. J Am Coll Cardiol. 2001;37:1665–1676
  10. Delacretaz E, Stevenson WG, Winters GL, et al. Radiofrequency ablation of atrial flutter. Circulation. 1999;99:E1–E2
  11. Schumacher B, Lewalter T, Wolpert C, et al. Radiofrequency ablation of atrial flutter. J Cardiovasc Electrophysiol. 1998;9:S139–S145
  12. Asirvatham SJ, Bruce CJ, Friedman PA. Advances in imaging for cardiac electrophysiology. Coron Artery Dis. 2003;14:3–13
  13. Asirvatham S, Narayan O. Advanced catheter mapping and navigation systems. In:  Huang S,  Wood M editor. Catheter Ablation of Cardiac Arrhythmias. Philadelphia: Saunders/Elsevier; 2006;p. 135–161
  14. Gurevitz OT, Glikson M, Asirvatham S, et al. Use of advanced mapping systems to guide ablation in complex cases: experience with noncontact mapping and electroanatomic mapping systems. Pacing Clin Electrophysiol. 2005;28:316–323
  15. Bunch T, Asirvatham S, Friedman P, et al. Mortality benefit and quality of life outcomes in patients undergoing curative ablation for atrial fibrillation: comparison with a disease-matched community population. Circulation. 2006;114:II-602
  16. Srivathsan K, Bunch T, Asirvatham S, et al. Mechanisms and utility of discrete great arterial potentials in the ablation of outflow tract ventricular arrhythmias. Circ Arrhythm Electrophysiol. 2008;1:30–38
  17. Srivathsan K, Gami AS, Barrett R, et al. Differentiating atrioventricular nodal reentrant tachycardia from junctional tachycardia: novel application of the delta H-A interval. J Cardiovasc Electrophysiol. 2008;19:1–6
  18. Asirvatham S, Johnson SB, Seward JB, et al. Do alterations in tissue Doppler derived velocity, acceleration and/or energy predict lesion formation with linear ablation in the canine atrium?. J Am Soc Echocardiogr. 1999;12:399
  19. Nakagawa H, Lazzara R, Khastgir T, et al. Role of the tricuspid annulus and the eustachian valve/ridge on atrial flutter (Relevance to catheter ablation of the septal isthmus and a new technique for rapid identification of ablation success). Circulation. 1996;94:407–424
  20. Friedman PA, Luria D, Fenton AM, et al. Global right atrial mapping of human atrial flutter: the presence of posteromedial (sinus venosa region) functional block and double potentials: a study in biplane fluoroscopy and intracardiac echocardiography. Circulation. 2000;101:1568–1577

PII: S1547-5271(09)00292-6

doi: 10.1016/j.hrthm.2009.03.017

Heart Rhythm
Volume 6, Issue 7 , Pages 949-956 , July 2009