Ebstein anomaly with atrial tachycardia: Case submitted by James Oliver, MBChB, PhD, MRCP

Seshadri Balaji, Ravi Mandapati, Gary D. Webb

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

1. Severe RV or left ventricular dysfunction and sustained VT should be an indication for ICD placement in patients with severe forms of CHD. 2. Avoid placing pacing or defibrillation leads through prosthetic AV valves. 3. In patients with severe recurrent atrial arrhythmias despite multiple therapies (drugs, catheter ablation, and surgery), it is important to keep considering repeat catheter ablation procedures with alternative technology as and when they become available. 4. Similarly, consideration should be given to referral to more specialized centers in such cases 5. VT in patients with Ebstein anomaly commonly arises from the diaphragmatic aspect of the atrialized RV and should be considered for catheter ablation.

Original languageEnglish (US)
Title of host publicationArrhythmias in Adult Congenital Heart Disease
Subtitle of host publicationA Case-Based Approach
PublisherElsevier
Pages53-58
Number of pages6
ISBN (Electronic)9780323485685
ISBN (Print)9780323496094
DOIs
StatePublished - Jan 1 2018

Keywords

  • Atrial flutter
  • Atrial tachycardia
  • Ebstein’s anomaly
  • Implantable defibrillator
  • Tricuspid valve surgery
  • Ventricular tachycardia

ASJC Scopus subject areas

  • Medicine(all)

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