Focal atrial tachycardia originating from the musculature of the coronary sinus

被引:62
作者
Volkmer, M [1 ]
Antz, M [1 ]
Hebe, J [1 ]
Kuck, KH [1 ]
机构
[1] Abt Kardiol, D-20099 Hamburg, Germany
关键词
focal atrial tachycardia; epicardial origin; catheter ablation; electroanatomic mapping;
D O I
10.1046/j.1540-8167.2002.00068.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Focal atrial tachycardias originate predominantly from the right atrium along the crista terminalis and less commonly from the left atrium. Successful catheter ablation usually can be performed via an endocardial approach. We report the case of a 34-year-old patient in whom a focal atrial tachycardia was successfully ablated 4 cm within the coronary sinus after extensive mapping of the left atrial endocardium and coronary sinus using the three-dimensional CARTO mapping system. Rarely, atrial tachycardia can originate from the coronary sinus musculature and require ablation inside the coronary sinus.
引用
收藏
页码:68 / 71
页数:4
相关论文
共 16 条
[1]   Electrical conduction between the right atrium and the left atrium via the musculature of the coronary sinus [J].
Antz, M ;
Otomo, K ;
Arruda, M ;
Scherlag, BJ ;
Pitha, J ;
Tondo, C ;
Lazzara, R ;
Jackman, WM .
CIRCULATION, 1998, 98 (17) :1790-1795
[2]  
Arruda M., 1997, Journal of the American College of Cardiology, V29, p358A
[3]   TRANSSEPTAL LEFT HEART CATHETERIZATION - A REVIEW OF 450 STUDIES AND DESCRIPTION OF AN IMPROVED TECHNIC [J].
BROCKENBROUGH, EC ;
BRAUNWALD, E ;
ROSS, J .
CIRCULATION, 1962, 25 (01) :15-&
[4]   Relation between ligament of Marshall and adrenergic atrial tachyarrhythmia [J].
Doshi, RN ;
Wu, TJ ;
Wu, TJ ;
Yashima, M ;
Kim, YH ;
Ong, JJC ;
Cao, JM ;
Hwang, C ;
Yashar, P ;
Fishbein, MC ;
Karagueuzian, HS ;
Chen, PS .
CIRCULATION, 1999, 100 (08) :876-883
[5]   Prevention of atrial fibrillation by complete compartmentalization of the left atrium using a catheter technique [J].
Ernst, S ;
Ouyang, F ;
Schneider, B ;
Kuck, KH .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2000, 11 (06) :686-690
[6]   Modification of the substrate for maintenance of idiopathic human atrial fibrillation -: Efficacy of radiofrequency ablation using nonfluoroscopic catheter guidance [J].
Ernst, S ;
Schlüter, M ;
Ouyang, F ;
Khanedani, A ;
Cappato, R ;
Hebe, J ;
Volkmer, M ;
Antz, M ;
Kuck, KH .
CIRCULATION, 1999, 100 (20) :2085-2092
[7]   Idiopathic paroxysmal atrial fibrillation induced by a focal discharge mechanism in the left superior pulmonary vein: Possible roles of the ligament of Marshall [J].
Hwang, C ;
Karagueuzian, KS ;
Chen, PS .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 1999, 10 (05) :636-648
[8]   RADIOFREQUENCY ABLATION FOR TREATMENT OF PRIMARY ATRIAL TACHYCARDIAS [J].
KAY, GN ;
CHONG, F ;
EPSTEIN, AE ;
DAILEY, SM ;
PLUMB, VJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1993, 21 (04) :901-909
[9]   The ligament of Marshall: A structural analysis in human hearts with implications for atrial arrhythmias [J].
Kim, DT ;
Lai, AC ;
Hwang, C ;
Fan, LT ;
Karagueuzian, HS ;
Chen, PS ;
Fishbein, MC .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 36 (04) :1324-1327
[10]   Three-dimensional electromagnetic catheter technology: Electroanatomical mapping of the right atrium and ablation of ectopic atrial tachycardia [J].
Kottkamp, H ;
Hindricks, G ;
Breithardt, G ;
Borggrefe, M .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 1997, 8 (12) :1332-1337