Radiofrequency Ablation of Accessory Pathways in Chil- dren with Complex Congenital Cardiac Lesions: A Report of Three Cases

Catheter ablation is an accepted, highly effective modality of treatment for cardiac arrhythmias in children. The success rate depends on the operator’s experience, especially in cases involving complex anatomies. We hereby report our recent experience of successful ablation of accessory pathways in...

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Main Authors: Mohammad Dalili, Jayakeerthi YRao, Pedro Brugada
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2015-10-01
Series:Journal of Tehran University Heart Center
Subjects:
Online Access:https://jthc.tums.ac.ir/index.php/jthc/article/view/292
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author Mohammad Dalili
Jayakeerthi YRao
Pedro Brugada
author_facet Mohammad Dalili
Jayakeerthi YRao
Pedro Brugada
author_sort Mohammad Dalili
collection DOAJ
description Catheter ablation is an accepted, highly effective modality of treatment for cardiac arrhythmias in children. The success rate depends on the operator’s experience, especially in cases involving complex anatomies. We hereby report our recent experience of successful ablation of accessory pathways in three children with complex congenital heart diseases. The first case was a 7-year-old girl with tricuspid atresia and a previous Glenn shunt, in whom a sub-epicardial overt accessory pathway was successfully ablated via the coronary sinus. The second case, a 9-year-old girl, received accessory pathway ablation via the fenestration of an extracardiac Fontan pathway. The third case was a 14-year-old boy with dextrocardia, common atrium, common ventricle, and a previous extracardiac Fontan operation, in whom ablation of a concealed accessory pathway was carried out retrogradely from the aorta. All the ablations were done in Rajaie Cardiovascular, Medical and Research Center, Tehran, and all the patients were discharged from the hospital without any complication.
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spelling doaj.art-c580d68d0271448480f671735486f53d2022-12-22T03:09:32ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712015-10-0182288Radiofrequency Ablation of Accessory Pathways in Chil- dren with Complex Congenital Cardiac Lesions: A Report of Three CasesMohammad Dalili0Jayakeerthi YRao1Pedro Brugada2Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.Heart Rhythm Management Center, Universitair Ziekenhuis Brussels – Vrije Universiteit Brussel, Brussels, Belgium.Heart Rhythm Management Center, Universitair Ziekenhuis Brussels – Vrije Universiteit Brussel, Brussels, Belgium.Catheter ablation is an accepted, highly effective modality of treatment for cardiac arrhythmias in children. The success rate depends on the operator’s experience, especially in cases involving complex anatomies. We hereby report our recent experience of successful ablation of accessory pathways in three children with complex congenital heart diseases. The first case was a 7-year-old girl with tricuspid atresia and a previous Glenn shunt, in whom a sub-epicardial overt accessory pathway was successfully ablated via the coronary sinus. The second case, a 9-year-old girl, received accessory pathway ablation via the fenestration of an extracardiac Fontan pathway. The third case was a 14-year-old boy with dextrocardia, common atrium, common ventricle, and a previous extracardiac Fontan operation, in whom ablation of a concealed accessory pathway was carried out retrogradely from the aorta. All the ablations were done in Rajaie Cardiovascular, Medical and Research Center, Tehran, and all the patients were discharged from the hospital without any complication.https://jthc.tums.ac.ir/index.php/jthc/article/view/292Accessory atrioventricular bundle • Heart defectcongenital • Catheter ablation • Child
spellingShingle Mohammad Dalili
Jayakeerthi YRao
Pedro Brugada
Radiofrequency Ablation of Accessory Pathways in Chil- dren with Complex Congenital Cardiac Lesions: A Report of Three Cases
Journal of Tehran University Heart Center
Accessory atrioventricular bundle • Heart defect
congenital • Catheter ablation • Child
title Radiofrequency Ablation of Accessory Pathways in Chil- dren with Complex Congenital Cardiac Lesions: A Report of Three Cases
title_full Radiofrequency Ablation of Accessory Pathways in Chil- dren with Complex Congenital Cardiac Lesions: A Report of Three Cases
title_fullStr Radiofrequency Ablation of Accessory Pathways in Chil- dren with Complex Congenital Cardiac Lesions: A Report of Three Cases
title_full_unstemmed Radiofrequency Ablation of Accessory Pathways in Chil- dren with Complex Congenital Cardiac Lesions: A Report of Three Cases
title_short Radiofrequency Ablation of Accessory Pathways in Chil- dren with Complex Congenital Cardiac Lesions: A Report of Three Cases
title_sort radiofrequency ablation of accessory pathways in chil dren with complex congenital cardiac lesions a report of three cases
topic Accessory atrioventricular bundle • Heart defect
congenital • Catheter ablation • Child
url https://jthc.tums.ac.ir/index.php/jthc/article/view/292
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