Challenges in Ablation of Complex Congenital Heart Disease

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Abstract

The field of congenital cardiac electrophysiology is growing rapidly due to the rapid growth in the population of survivors of childhood critical congenital heart disease surgery. Chronic arrhythmias pose one of the biggest challenges in this patient population, and catheter ablation, despite its challenges, is still the most desirable and acceptable approach when successful. Clinicians who propose catheter ablation in such patients need to understand the congenital anatomy, should carefully review the details of all prior cardiac surgery, and should be prepared to deal with the various challenges posed by lack of normal cardiac access and the possibility of poor hemodynamics. Still, experienced laboratories can achieve excellent results in this difficult patient population.

Original languageEnglish
Pages (from-to)711-718
Number of pages8
JournalCardiac Electrophysiology Clinics
Volume11
Issue number4
DOIs
StatePublished - Dec 2019

Keywords

  • Ablation
  • Congenital heart disease
  • Fontan
  • Intra-atrial reentry
  • Mustard
  • Senning
  • Ventricular tachycardia

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