合并心脏血管畸形的阵发性室上性心动过速的导管射频消融体会

Radiofrequency catheter ablation of supraventricular tachycardia combined with cardiovascular anormaly

目的 回顾 6种特殊类型快速心律失常的导管射频消融 (RFCA)效果。方法 经导管标测和射频消融。结果 3例合并左上腔静脉干永存的阵发性室上性心动过速 (PSVT) ,均为左侧旁道 ,1次消融成功 ;2例二尖瓣狭窄患者为左侧旁道 ,行二尖瓣球囊成形术后 ,1次消融成功 ;1例合并Ebstein畸形的PSVT患者 ,为右侧旁道 ,导管消融 3个月后复发 ,再次消融成功。结论 合并心脏血管畸形的PSVT患者进行RFCA是安全、有效的。

Objective To retrospect 6special radiofrequency catheter ablation of atrial tachyarrhythmias originating.Methods Using cube surveying and RFCA.Results 3 cases of SVT combined with left super ivrvena cava and left accessory pathway were successfully ablated, 2 cases of mitral valve stenosis with left accessory pathway performed valvuloplasty were successfully ablated,one case of SVT combined with Ebstein's anormaly and right accessory pathway reoccurred 3 months after doing RFCA, but successfully ablated at the second time.Conclusion It is safe and effective to ablate the SVT which are combined with cardiovascular anormaly.