Three-dimensional electroanatomic voltage map-guided treatment of a patient with a failing atriopulmonary Fontan circulation

Christian Schreiber, Gabriele Hessling, Bernhard Zrenner, Zsolt Prodan, Li Lei, Andreas Eicken, Rüdiger Lange

Research output: Contribution to journalArticlepeer-review

Abstract

A three-dimensional electroanatomic bipolar voltage map of the right atrium was performed in a 20-year-old patient with functional single-ventricle physiology after a classic Fontan-type operation who presented with clinical signs of heart failure, a dilated right atrium, protein-losing enteropathy, and sinus node dysfunction. Previous pacemaker upgrading to a DDD system using a transvenous right atrial lead had failed due to insufficient sensing and pacing function. The voltage map showed large zones of scarring and low-amplitude signals. Consecutively, conversion to an extracardiac total cavopulmonary connection (TCPC) together with a pacing lead insertion into the left atrium was performed successfully.

Original languageEnglish
Pages (from-to)58-61
Number of pages4
JournalHerz
Volume32
Issue number1
DOIs
StatePublished - Jan 2007

Keywords

  • Fontan conversion
  • TCPC
  • Three-dimensional electroanatomic mapping

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