catheter ablation is an accepted, highly effective modality of treatment for cardiac arrhythmias in children. the success rate depends on the operator’s experience, especially in cases involving complex anatomies. we hereby report our recent experience of successful ablation of accessory pathways in three children with complex congenital heart diseases. the first case was a 7-year-old girl with...

Incidence and prognostic relevance of supraventricular arrhythmias were evaluated in nine studies. These studies investigated patients with different forms of pulmonary hypertension. Supraventricular arrhythmias were more often found in patients with group two pulmonary hypertension. Common findings in these patients were elevated right atrial pressure and diameters and reduced tricuspid annula...

Mahaim fiber exhibits atrio-ventricular node like properties and generally is localized at the lateral aspect of the tricuspid annulus. Of the varying methods for localization, ablation at the site of Mahaim potential is the most accepted and successful method. Radiofrequency ablation of Mahaim fiber has high success rates.

Junctional ectopic tachycardia (JET) occurs postoperatively or after catheter ablation in the region of Koch's triangle. The post-ablation incidence JET reported medical literature is very low. We report case a 13-year-old female patient who underwent slow pathway for atrioventricular node reentrant and subsequently developed JET. An accelerated automatic focus was found junction area due to ra...

background: radiofrequency catheter ablation (rfca) has been introduced as the treatment of choice for supraventricular tachycardia. the aim of this study was to evaluate the success rate as well as procedural and in-hospital complications of rfca for the treatment of atrioventricular nodal reentrant tachycardia (avnrt).   methods: between march 1995 and february 2009, 544 patients (75.9 % fema...

Introduction Unroofed coronary sinus is a rare congenital anomaly that may alter the complex anatomy of the atrioventricular (AV) node. Arrhythmia circuits occurring among these patients may not be located in the usual position, especially those circuits involving the AV node. We report a case of the coexistence of this uncommon coronary sinus (CS) anomaly and the atypical form of atrioventricu...

Transvenous ablation of atrioventricular conduction by high energy shock through a pacing wire has been used as a method of controlling the ventricular response to rapid atrial arrhythmias. A patient in whom this technique successfully controlled refractory tachycardia was admitted with severe left ventricular impairment five months after the procedure and died. The heart was examined at necrop...

BACKGROUND The purpose of this study was to evaluate electrode temperatures obtained using a radiofrequency ablation system that incorporates closed loop feedback control to achieve preset target electrode temperatures and to determine if closed loop temperature control results in a lower incidence of developing a coagulum. METHODS AND RESULTS Two hundred seventy patients underwent catheter a...

cardiac rhabdomyomas are the most common primary cardiac tumors in children. these tumors are generally asymptomatic, although they may be associated with neonatal tuberous sclerosis complex. despite the fact that thyroid dysfunction rarely occurs in tuberous sclerosis, papillary adenomas (hamartomas) of the thyroid gland have been reported in a number of autopsies. herein, we present the case ...

background: ventriculoatrial (va) conduction has an important role in the initiation and maintenance of some arrhythmias. the aim of this study was to evaluate whether clinical and electrophysiological parameters of atrioventricular (av) conduction can predict va conduction. methods: detailed demographic, electrocardiographic, and echocardiographic data were recorded in 54 consecutive patients ...