2003, Number 4
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Arch Cardiol Mex 2003; 73 (4)
Radiofrequency ablation of late ventricular tachicardia in patients with corrected Fallot’s Tetralogy
U Rogel, A Cuesta, L Mont, J Brugada
Language: Spanish
References: 8
Page: 275-279
PDF size: 362.88 Kb.
ABSTRACT
We present the cases of two patients with surgical repaired Tetralogy of Fallot
and late ventricular tachycardia. In one patient, the ventricular tachycardia
had a right bundle branch block pattern, and in the other, a left bundle branch
block pattern. In both patients a macroreentrant circuit in the rigth ventricular
outflow tract was documented; radiofrequency ablation was effective in both
cases. This suggests that the morphology of the ventricular tachycardia in these
patients could depend of the direction of the circuit into the right ventricular
outflow tract and that mapping of this zone allows to localize the appropriate
site for effective ablation.
REFERENCES
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Misaki T, Tsubota M, Watanabe G, Watanabe Y, Matumoto Y, Iwa T, et al: Surgical Treatment of Ventricular Tachycardia after Surgical Repair of Tetralogy of Fallot. Relation between Intraoperative Mapping and Histological Findings. Circulation 1994; 90: 264-71.
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Fukuhara H, Nakamura Y, Tasato H, Tanihira Y, Baba K, Nakata Y: Successful Radiofrequency Catheter Ablation of Left Ventricular Tachycardia Following Surgical Correction of Tetralogy of Fallot. PACE 2000; 23: 1442-1445.
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