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Case Reports
. 2018 Aug 16;4(10):466-468.
doi: 10.1016/j.hrcr.2018.07.006. eCollection 2018 Oct.

Radiofrequency ablation of typical atrial flutter with access through the azygos vein in a patient with heterotopia utilizing high-density electroanatomic mapping

Affiliations
Case Reports

Radiofrequency ablation of typical atrial flutter with access through the azygos vein in a patient with heterotopia utilizing high-density electroanatomic mapping

Martin Borlich et al. HeartRhythm Case Rep. .
No abstract available

Keywords: Azygos vein; Catheter ablation; Congenital heart disease; High-density mapping; Inferior vena cava discontinuity; Isthmus-dependent flutter; Radiofrequency ablation; Typical atrial flutter.

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Figures

Figure 1
Figure 1
Three-dimensional reconstruction and bipolar voltage map of the azygos vein and right atrium with coronary sinus. Visitags visualize the inferior line connecting the tricuspid valve annulus and the nonconducting region of the interrupted inferior vena cava. A: Right anterior oblique projection 30°. B: Left anterior oblique projection 45°.
Figure 2
Figure 2
A: Local activation time (LAT) map created during stimulation from the coronary sinus in left anterior oblique projection (45°) for demonstration of cavotricuspid isthmus block. B: Inferior view on the right atrium with LAT map and visualization of conduction block.

References

    1. Bass J.E., Redwine M.D., Kramer L.A., Huynh P.T., Harris J.H., Jr. Spectrum of congenital anomalies of the inferior vena cava: cross-sectional imaging findings. Radiographics. 2000;20:639–652. - PubMed
    1. Traykov V., Marchov D., Kirova G., Gelev V. Catheter ablation of typical atrial flutter with the superior approach in a patient with inferior vena cava interruption. Clin Case Rep. 2017;5:1834–1836. - PMC - PubMed
    1. Pons F., Tazi Mezalek A., Koutbi L., Bun S., Prevôt S., Franceschi F., Deharo J.C. Superior approach for radiofrequency ablation of common atrial flutter in patient with heterotaxy syndrome. Int J Cardiol. 2012;158:49–50. - PubMed
    1. Pérez-Silva A., Merino J.L., Peinado R., Lopez-Sendon J. Atrial flutter ablation through the azygous continuation in a patient with inferior vena cava interruption. Europace. 2011;13:442–443. - PubMed
    1. Guenther J., Marrouche N., Ruef J. Ablation of atrial flutter by the femoral approach in the absence of inferior vena cava. Europace. 2007;9:1073–1074. - PubMed

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