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Hybrid approach to the elimination of atrioventricular nodal tachycardia by radiofrequency ablation in a patient after Fontan operation in the modification of extracardial condui

Authors: Filatov A.G., Samsonov V.B., Shalov R.Z., Kovalev D.V., Zelenikin M.M., Danilov T.Yu., Podzolkov V.P., Avanesyan G.A.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, 121552, Russian Federation

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Type:  Case reports


DOI: https://doi.org/10.24022/1997-3187-2021-15-1-99-107

For citation: Filatov A.G., Samsonov V.B., Shalov R.Z., Kovalev D.V., Zelenikin M.M., Danilov T.Yu., Podzolkov V.P., Avanesyan G.A. Hybrid approach to the elimination of atrioventricular nodal tachycardia by radiofrequency ablation in a patient after Fontan operation in the modification of extracardial conduit. Creative Cardiology. 2021; 15 (1): 99–107 (in Russ.). DOI: 10.24022/1997-3187-2021-15-1-99-107

Received / Accepted:  16.03.2021 / 22.03.2021

Keywords: hybrid surgery radiofreguency ablation atrioventricular nodal tachycardia singl ventricle Fontan operation

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Abstract

One of the long-term complications after Fontan operation is cardiac arrhythmias. Nodal atrioventricular tachycardia is extremely rare. In the absence of the effect of drug therapy, patients are shown intracardiac intervention in order to eliminate the source of arrhythmia. Radiofrequency ablation of an arrhythmogenic focus is considered the least traumatic and effective. At the same time, after Fontan operation, especially after modification with the use of an extracardiac conduit and the absence of fenestration, certain difficulties arise when choosing access to the intracardiac structures. An alternative can be a hybrid approach with the provision of intracardiac access to the conduction system for ablation using sterno- or thoracotomy in a cardiac surgery operating room. The presented message describes a hybrid approach to the elimination of arrhythmias.

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About Authors

  • Andrey G. Filatov, Dr. Med. Sc., Professor, Head of Department, ORCID
  • Viktor B. Samsonov, Dr. Med. Sc., Leading Researcher, ORCID
  • Ruslan Z. Shalov, Junior Researcher, ORCID
  • Dmitriy V. Kovalev, Dr. Med. Sc., Leading Researcher, ORCID
  • Mikhail M. Zelenikin, Dr. Med. Sc., Professor, Head of Department, ORCID
  • Timur Yu. Danilov, Dr. Med. Sc., Leading Researcher, ORCID
  • Vladimir P. Podzolkov, Dr. Med. Sc., Professor, Academician of RAS, Head of Department, ORCID
  • Grayr A. Avanesyan, Resident Physician, ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


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