Document Detail

Successful surgical treatment of focal atrial tachycardia--a case report and review of the literature.
MedLine Citation:
PMID:  2433805     Owner:  NLM     Status:  MEDLINE    
Focal atrial tachycardia with frequencies up to 200/min in an 11-year-old girl had been resistant to drugs over a period of 5 years. An electrophysiological study demonstrated a left atrial ectopic tachycardia. Intraoperative epicardial mapping localized the automatic focus at the base of the left atrial appendage. Excision of the appendage and cryoablation of the adjacent area were performed using cardiopulmonary bypass. Histologic examination of the excised tissue showed no specific alterations aside from islets of fatty tissue. The girl has been in sinus rhythm and has shown no tachycardias during the 6 months following the operation. A review of the literature, covering 17 cases of right and 12 cases of left atrial focal tachycardia, indicates excision of the atrial tissue in combination with cryoablation to be the treatment of choice to ensure success.
G Frank; D Baumgart; H Klein; I Luhmer; H C Kallfelz; H G Borst
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  34     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  1986 Dec 
Date Detail:
Created Date:  1987-03-20     Completed Date:  1987-03-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  398-402     Citation Subset:  IM    
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MeSH Terms
Child, Preschool
Tachycardia, Ectopic Atrial / physiopathology,  surgery*
Tachycardia, Supraventricular / surgery*

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