Clinical Case Reports (Jun 2021)

Successful catheter ablation of postoperative atrial tachycardia with conduction disturbances: Assessment by late‐gadolinium enhancement magnetic resonance imaging and high‐resolution electro‐anatomical mapping

  • Kazutaka Nakasone,
  • Kunihiko Kiuchi,
  • Mitsuru Takami,
  • Yu Izawa,
  • Koji Fukuzawa,
  • Ken‐ichi Hirata

DOI
https://doi.org/10.1002/ccr3.4198
Journal volume & issue
Vol. 9, no. 6
pp. n/a – n/a

Abstract

Read online

Abstract Atrial tachycardia (AT) in the right atrium often occurs following open‐heart surgery. Catheter ablation for these AT is challenging and can lead to unintended conduction block. We performed late‐gadolinium enhancement magnetic resonance imaging (LGE‐MRI) prior to catheter ablation and predicted wavefront propagation during SR as well as the slow conduction zone during tachycardia. LGE‐MRI may assist predicting the conduction disturbance and reducing the risk of unexpected sinus exit block.

Keywords