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Noninvasive Electrocardiomapping Facilitates Previously Failed Ablation of Right Appendage Diverticulum Associated Life-Threatening Accessory Pathway

Authors


  • Mélèze Hocini and Michel Haïssaguerre are stock owners in, and Ashok J. Shah is paid consultant to, CardioInsight Inc., Cleveland, OH, USA. Other authors: No disclosures.

Address for correspondence: Mélèze Hocini, M.D., Hôpital Cardiologique du Haut Lévêque, Avenue de Magellan, 33604 PESSAC Cedex, France. Fax: +335-5765-6509; E-mail: meleze.hocini@chu-bordeaux.fr

Electrocardiomapping in Right Atrial Diverticulum and Accessory Pathway

Combination of structural (CT-scan) and functional (3D electrocardiomapping) imaging methods helped successfully accomplish ablation of a life-threatening manifest accessory pathway in association with a complex right atrial anomaly after previous unsuccessful attempts of endo-epicardial ablation guided by the invasive electroanatomic system in an adolescent female. Such a system has a potential to facilitate the ablation procedure and impact its outcome through accurate localization of the arrhythmogenic substrate. (J Cardiovasc Electrophysiol, Vol. 24, pp. 583–585, May 2013)

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