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Ann Thorac Surg 1988;46:232-235
© 1988 The Society of Thoracic Surgeons

Articles

Computerized Global Electrophysiological Mapping of the Atrium in a Patient with Multiple Supraventricular Tachyarrhythmias

Thomas E. Canavan, M.D.*, Richard B. Schuessler, Ph.D., Michael E. Cain, M.D., Bruce D. Lindsay, M.D., John P. Boineau, M.D., Peter B. Corr, Ph.D., James L. Cox, M.D.*

From the Division of Cardiothoracic Surgery, Department of Surgery, and the Division of Cardiology, Department of Medicine, Washington University School of Medicine, Barnes Hospital, St. Louis, MO

Accepted for publication March 7, 1988.

* Address reprint requests to Dr. Cox, Division of Cardiothoracic Surgery, Washington University School of Medicine, Suite 3108 Queeny Tower, 4989 Barnes Hospital Plaza, St. Louis, MO 63110.

The first clinical experience and the potential benefit of intraoperative global atrial-activation mapping recorded from 156 electrodes simultaneously are demonstrated in a 14-year-old girl with an ectopic (automatic) right atrial tachycardia, junctional tachycardia, and atrial flutter secondary to a previous atriotomy. Cryoablation of the right atrial focus terminated the automatic tachycardia, and surgical interruption of the atrial flutter pathway temporarily terminated this arrhythmia. Persistence of the junctional tachycardia necessitated elective cryoablation of the bundle of His.




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