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

作　　者：张兴凯[1] 张文广[1] 马小明[1] 冯菁[1] 许金东[1] 王海龙[1] 刘斐[1] 张清[2] 

机构地区：[1]解放军第五医院,宁夏银川750004 [2]第四军医大学附属西京医院,陕西西安751300

出　　处：《宁夏医学杂志》2005年第1期44-46,共3页Ningxia Medical Journal

摘　　要：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.

关 键 词：心脏血管畸形 室上性心动过速 导管射频消融 

分 类 号：R541.7[医药卫生—心血管疾病]