Atrial arrhythmia ablation in adult congenital heart disease with a persistent left-side superior vena cava

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Abstract

We herein report a case of atrial tachycardia (AT) originating from the dilated coronary sinus (CS) connected to a persistent left superior vena cava. The earliest activation site of AT was localized at the superior CS ostium, identified using a novel ultra-rapid high-density mapping system (Rhythmia™). Successful ablation was performed at the corresponding position. This report demonstrated the utility of an ultra-rapid high-density mapping system in identifying arrhythmogenic foci in adult cases of congenital heart disease.

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Yamada, S., Lo, L. W., Lin, Y. J., Prabhu, A., & Chen, S. A. (2017). Atrial arrhythmia ablation in adult congenital heart disease with a persistent left-side superior vena cava. Internal Medicine, 56(22), 3051–3055. https://doi.org/10.2169/internalmedicine.8492-16

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