the inferior displacement of the his bundle and fast pathway in a patient with common type atrioventricular nodal tachycardia: three-dimensional computed tomography analysis

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2017
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Abstract
A 66-year-old woman with palpitations was referred to our center for catheter ablation due to drug-refractory, common type atrioventricular nodal tachycardia (AVNRT). A selective slow pathway ablation was attempted. A fast junctional rhythm with transient ventriculoatrial block followed by transient prolongation of the Aā€“H interval occurred immediately after the radiofrequency (RF) application at the coronary sinus ostium (CSOS) level. To assess the location of the fast pathway and His bundle, we sought to visualize the anatomy of the triangle of Koch (TOK) by three-dimensional computed tomography (CT).
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Authors ;Kunihiko Kiuchi, MD, FHRS;Koji Fukuzawa, MD;Mori Shumpei, MD;Tatsuya Nishii, MD
Journal [rinsho ketsueki] the japanese journal of clinical hematology
Year 2017
DOI 10.1016/j.joa.2016.07.009
URL
http://www.sciencedirect.com/science/article/pii/S1880427616300977
Keywords
Diseases of the circulatory (Cardiovascular) system catheter ablation implantable cardioverter-defibrillator ventricular tachycardiadiseases of the circulatory (cardiovascular) system computed tomographydiseases of the circulatory (cardiovascular) system fast pathway

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