Atrial flutter ablation through the azygous continuation in a patient with mirror image dextrocardia and interrupted inferior vena cava

Authors

  • Adèle Greyling Netcare Greenacres Hospital and Nelson Mandela University Port Elizabeth
  • James Potts Life St George’s Hospital Port Elizabeth

Abstract

Arrhythmias are frequent in adult congenital heart disease (ACHD). Most common is cavotricuspid isthmus (CTI)-dependent atrial flutter (AFL), followed by scar (incisions / patches)-related circuits. Radiofrequency catheter ablation (RFCA) is the treatment of choice. Linear radiofrequency (RF) applications are required, usually via a femoral approach. We describe a case of CTI-dependent AFL ablation by the femoral approach in a patient with dextrocardia and interrupted inferior vena cava (IVC).

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Published

2019-07-30

How to Cite

Greyling, A., & Potts, J. (2019). Atrial flutter ablation through the azygous continuation in a patient with mirror image dextrocardia and interrupted inferior vena cava. SA Heart Journal, 16(2), 142–143. Retrieved from https://www.journals.ac.za/SAHJ/article/view/3647

Issue

Vol. 16 No. 2 (2019)

Section

Echocardiography Quiz

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