Three-Dimensional Electroanatomic Voltage Map-Guided Treatment of a Patient with a Failing Atriopulmonary Fontan Circulation

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• 作者：Christian Schreiber ; Gabriele Hessling ; Bernhard Zrenner ; Zsolt Prodan ; Li Lei ; Andreas Eicken and Rüdiger Lange
• 关键词：Key Words ; Three ; dimensional electroanatomic mapping ; Fontan conversion ; TCPC
• 刊名：Herz
• 出版年：2007
• 出版时间：January, 2007
• 年：2007
• 卷：32
• 期：1
• 页码：58-61
• 全文大小：283 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Cardiology
  
• 出版者：Urban & Vogel
• ISSN：1615-6692

文摘

A three-dimensional electroanatomic bipolar voltage map of the right atrium was performed in a 20-year-old patient with functional single-ventricle physiology after a classic Fontan-type operation who presented with clinical signs of heart failure, a dilated right atrium, protein-losing enteropathy, and sinus node dysfunction. Previous pacemaker upgrading to a DDD system using a transvenous right atrial lead had failed due to insufficient sensing and pacing function. The voltage map showed large zones of scarring and low-amplitude signals. Consecutively, conversion to an extracardiac total cavopulmonary connection (TCPC) together with a pacing lead insertion into the left atrium was performed successfully.