Radiofrequency Ablation of Accessory Pathways Associated with Congenital Heart Disease
Identifieur interne : 000E57 ( Main/Corpus ); précédent : 000E56; suivant : 000E58Radiofrequency Ablation of Accessory Pathways Associated with Congenital Heart Disease
Auteurs : George F. Van HareSource :
- Pacing and Clinical Electrophysiology [ 0147-8389 ] ; 1997-08.
English descriptors
Abstract
The coexistence of significant congenital cardiac disease with accessory pathways is not uncommon, and presents a number of issues for clinical management. These issues include the propensity of such patients to have poorly tolerated tachycardia; the difficulties in choosing appropriate medical management given potential problems with preexisting sinus node disease, poor contractility, and the possibility of proarrhythmia; the need to seriously consider ablation prior to, or at the time of, intracar‐diac repair of congenital cardiac defects; and finally, the difficulties that complex anatomy may pose to the interventional electrophysiologist. Definitive management requires expertise both in electrophysiology and in pediatric cardiology. Success can usually be achieved with a careful, anatomically precise approach, combined with imagination and persistence. Because of the difficulties with medical management, catheter ablation may be the most attractive modality for control of accessory pathway tachycardia in this patient population.
Url:
DOI: 10.1111/j.1540-8159.1997.tb03632.x
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ISTEX:32AD683EBBE26E09C3EE6638591B572DFACF7F06Le document en format XML
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Van Hare, M.D., Pediatric Cardiology, Room 380, Rainbow Babies and Children's Hospital, 11100 Euclid Avenue, Cleveland, Ohio 44106‐6011. Fax: (216)844‐5478. 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