| Nodoventricular pathway associated with twin AV nodes: complexity of ablation in single ventricle physiology. | |
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MedLine Citation:
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PMID: 20132387 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report the case of a patient with heterotaxy syndrome including complex single ventricular morphology and interrupted IVC in association with twin conduction systems and a nodoventricular accessory pathway connection. The presence of 3 distinct QRS morphologies was inadvertently discovered during a hemodynamic catheterization study and prompted formal EP testing prior to hepatic venous inclusion into the Fontan circuit and loss of access to the atrial chamber for testing and therapy. This patient underscores the importance of close surveillance and high index of suspicion of arrhythmia mechanisms in patients with heterotaxy syndrome in conjunction with single ventricle morphology. |
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Authors:
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Richard J Czosek; Jeffrey Anderson; Chad Connor; Timothy Knilans |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-02-01 |
Journal Detail:
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Title: Journal of cardiovascular electrophysiology Volume: 21 ISSN: 1540-8167 ISO Abbreviation: J. Cardiovasc. Electrophysiol. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-16 Completed Date: 2010-12-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9010756 Medline TA: J Cardiovasc Electrophysiol Country: United States |
Other Details:
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Languages: eng Pagination: 936-9 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Heart Institute, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA. richard.czosek@cchmc.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abnormalities, Multiple
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surgery* Atrioventricular Node / abnormalities, physiopathology, surgery* Cardiac Pacing, Artificial Catheter Ablation* Electrocardiography Electrophysiologic Techniques, Cardiac Female Fontan Procedure* Heart Defects, Congenital / complications, surgery* Heart Ventricles / abnormalities, surgery Humans Pre-Excitation, Mahaim-Type / etiology, physiopathology, surgery* Recurrence Reoperation Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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