Heart Rhythm
Volume 6, Issue 11 , Pages 1559-1564 , November 2009

Extracardiac structures are frequently present within close proximity to the left atrium: Relevance to catheter ablation

  • Seiji Takatsuki, MD

      Affiliations

    • Cardiology Department, Keio University School of Medicine, Tokyo, Japan
    • Corresponding Author InformationAddress reprint requests and correspondence: Dr. Seiji Takatsuki, Cardiology Department, Keio University School of Medicine, 35 Shinanomachi, Shinjukuku, Tokyo 160-8582, Japan
    • ,
  • Minoru Yamada

      Affiliations

    • Radiology Department, Keio University School of Medicine, Tokyo, Japan
    • ,
  • Kotaro Fukumoto, MD

      Affiliations

    • Cardiology Department, Keio University School of Medicine, Tokyo, Japan
    • ,
  • Kojiro Tanimoto, MD

      Affiliations

    • Cardiology Department, Keio University School of Medicine, Tokyo, Japan
    • ,
  • Masahiro Jinzaki, MD

      Affiliations

    • Radiology Department, Keio University School of Medicine, Tokyo, Japan
    • ,
  • Sachio Kuribayashi, MD

      Affiliations

    • Radiology Department, Keio University School of Medicine, Tokyo, Japan
    • ,
  • Satoshi Ogawa, MD

      Affiliations

    • Cardiology Department, Keio University School of Medicine, Tokyo, Japan

Received 29 April 2009 ,Accepted 28 July 2009.

References 

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  2. Dhala AA, Deshpande SS, Bremner S, et al. Transcatheter ablation of posteroseptal accessory pathways using a venous approach and radiofrequency energy. Circulation. 1994;90:1799–1810
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  11. Takahashi Y, Jais P, Hocini M, et al. Acute occlusion of the left circumflex coronary artery during mitral isthmus linear ablation. J Cardiovasc Electrophysiol. 2005;16:1104–1107
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  13. Van de Veire NR, Schuijf JD, De Sutter J, et al. Non-invasive visualization of the cardiac venous system in coronary artery disease patients using 64-slice computed tomography. J Am Coll Cardiol. 2006;48:1832–1838
  14. Shinbane JS, Lesh MD, Stevenson WG, et al. Anatomic and electrophysiologic relation between the coronary sinus and mitral annulus: implications for ablation of left-sided accessory pathways. Am Heart J. 1998;135:93–98
  15. Yamanouchi Y, Igawa O, Hisatome I. Activation mapping from the coronary sinus may be limited by anatomic variations. Pacing Clin Electrophysiol. 1998;21:2522–2526
  16. Lemola K, Sneider M, Desjardins B, et al. Computed tomographic analysis of the anatomy of the left atrium and the esophagus: implications for left atrial catheter ablation. Circulation. 2004;110:3655–3660
  17. Tsao HM, Wu MH, Chern MS, et al. Anatomic proximity of the esophagus to the coronary sinus: implication for catheter ablation within the coronary sinus. J Cardiovasc Electrophysiol. 2006;17:266–269
  18. Lemola K, Mueller G, Desjardins B, et al. Topographic analysis of the coronary sinus and major cardiac veins by computed tomography. Heart Rhythm. 2005;2:694–699
  19. Fuller IA, Wood MA. Intramural coronary vasculature prevents transmural radiofrequency lesion formation: implications for linear ablation. Circulation. 2003;107:1797–1803
  20. Kistler PM, Sanders P, Hussin A, et al. Focal atrial tachycardia arising from the mitral annulus: electrocardiographic and electrophysiologic characterization. J Am Coll Cardiol. 2003;41:2212–2219
  21. Kasai A, Anselme F, Saoudi N. Myocardial connections between left atrial myocardium and coronary sinus musculature in man. J Cardiovasc Electrophysiol. 2001;12:981–985

 The authors thank Jeffrey Annis for his linguistic advice.

PII: S1547-5271(09)00830-3

doi: 10.1016/j.hrthm.2009.07.049

Heart Rhythm
Volume 6, Issue 11 , Pages 1559-1564 , November 2009

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