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Successful transseptal puncture for radiofrequency ablation of left atrial tachycardia after closure of secundum atrial septal defect with Amplatzer septal occluder

Published online by Cambridge University Press:  22 March 2010

Michala E. F. Pedersen ,
Jaswinder S. Gill ,
Shakeel A. Qureshi  and
Christopher A. Rinaldi
Michala E. F. Pedersen
Affiliation:
Cardiothoracic Centre, Guy’s & St Thomas’ Hospital Trust, London, United Kingdom
Jaswinder S. Gill
Affiliation:
Cardiothoracic Centre, Guy’s & St Thomas’ Hospital Trust, London, United Kingdom
Shakeel A. Qureshi
Affiliation:
Department of Paediatric Cardiology, Evelina Children’s Hospital, Guy’s & St Thomas’ Hospital Trust, London, United Kingdom
Christopher A. Rinaldi*
Affiliation:
Cardiothoracic Centre, Guy’s & St Thomas’ Hospital Trust, London, United Kingdom
*
Correspondence to: Dr C. A. Rinaldi, Cardiothoracic Centre, Guy’s & St Thomas’ Hospital Trust, Westminster Bridge Road, London SE1 7EH, UK. Tel: +44 207 1887188; Fax: +44 (0) 207 1881011; E-mail: aldo.rinaldi@gstt.nhs.uk
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Abstract

We report on a 37-year-old woman presenting with atrial arrhythmias after catheter closure of a secundum atrial septal defect with an Amplatzer septal occluder device. Eletrophysiological studies suggested that the arrhythmia originated from the left atrium, from an area near the device. Transseptal puncture was successfully performed under transoesophageal guidance and the arrhythmia was successfully ablated. This case showed that transseptal puncture can be safely performed in the presence of an Amplatzer septal occluder device under transoesophageal echocardiography guidance and we speculate that the device may have created the substrate for the arrhythmia.

Keywords

Arrhythmiadevice closure of atrial septal defecttransseptal puncturetransoesophageal echocardiography
Type
Brief Reports
Information
Cardiology in the Young , Volume 20 , Issue 2 , April 2010 , pp. 226 - 228
Copyright
Copyright © Cambridge University Press 2010

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References

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