This authoritative book explores electrophysiologic testing and therapeutic catheter ablation for cardiac arrhythmias in children, and in patients of all ages with congenital heart disease. It reviews the anatomic and physiologic background to these procedures, emphasizing the tools for mapping and tissue ablation that continue to improve patient outcomes. Additionally, individual chapters are dedicated to specific congenital heart defects (for instance, tetralogy of Fallot, Ebstein’s anomaly, univentricular heart) guiding the reader to anticipate the type of arrhythmia, the most likely location for effective ablation, and the technical challenges that may be encountered in each condition.

Key Features

• • Provides a detailed review of the unique challenges presented by young patients with small heart size, and patients of any age with distorted anatomy due to congenital heart disease, in this long overdue, updated text

• • Intends to guide all cardiologists engaged in invasive electrophysiology at both the training level and established practice who are exposed to such exceptional cases

• Includes an internationally recognized group of experts who discuss the technical approaches, success rates, complication rates, and special precautions needed to achieve optimal outcomes

Contents

۱ Development and Morphologic Aspects of the Cardiac Conduction System in Normal Hearts and Congenital Heart Defects
۲ Tachycardia Mechanisms in Children with Normal Hearts and in Patients of All Ages with Congenital Heart Defects
۳ Physical Principles of Catheter Ablation
۴ Indications for Catheter Ablation in Infantsr Children,, and Patients with Congenital Heart Disease
۵ Cardiac Mapping and Imaging in Pediatrics and Congenital Heart Disease
۶ Automatic Atrial and Junctional Ectopic Tachycardia
۷ Atrioventricular Nodal Reentrant Tachycardia
۸ Accessory Pathways (Atrioventricular Pathways and Other Abnormal Connections)
۹ Atrial Flutter and Atrial Fibrillation in Young Patients with Normal Hearts
۱۰ Overview of Supraventricular Tachycardias in Patients with Congenital Heart Disease
۱۱ Atrial and Ventricular Septal Defects
۱۲ Catheter Ablation in Atrioventricular Septal Defects
۱۳ Ebstein’s Anomaly
۱۴ Catheter Ablation of Atrial Tachycardia in Tetralogy of Fallot and Double Outlet Right Ventricle
۱۵ Transposition of the Great Vessels with Mustard,,1Penning Repair
۱۶ Catheter Ablation of Supraventricular Tachycardia in Congenitally Corrected Transposition of the Great Arteries
۱۷ Heterotaxy Syndrome and Twin AV Node Tachycardia
۱۸ Catheter Ablation in Unventricular Hearts Following the Fontan Procedure
۱۹ Ventricular Arrhythmias in Patients with Structurally Normal Hearts
۲۰ Catheter Ablation of Ventricular Tachycardia in Congenital Heart Disease
۲۱ Role of Interventional Procedures in Channelopathies: Catheter Ablation and Sympathectomy
۲۲ Technical Refinements for Catheter Ablation in Young/Small Children
۲۳ Technical Refinements for Ablation in Adults with Complex Vascular and Intracardiac Anatomy, Including Difficult Transseptal Access
۲۴ Minimizing Radiation Exposure during Ablation in Young Patients
۲۵ Sedation and Anesthesia in Patients Undergoing Catheter Ablation
۲۶ Surgery for Arrhythmia Management in Congenital Heart Disease: The Electrophysiologist’s Perspective
۲۷ Surgery for Arrhythmia Management in Congenital Heart Disease: The Surgeon’s Perspective
۲۸ The Real World: Cost Considerations According to Geographic Location
۲۹ Future Directions