Ablation of Focal Atrial Tachycardia from a Large Left Atrial Diverticulum Using 3D Printing

Natee Sirinvaravong; Rachel Fenberg; Kyle K. VanKoevering; Megan Malara; Anthony W. Salmeron; Saurabh Rajpal; Mahmoud Houmsse

doi:10.14797/mdcvj.1429

Ablation of Focal Atrial Tachycardia from a Large Left Atrial Diverticulum Using 3D Printing

Methodist DeBakey Cardiovascular Journal

Volume 20 (2024): Issue 1

By: Natee Sirinvaravong , Rachel Fenberg , Kyle K. VanKoevering , Megan Malara , Anthony W. Salmeron , Saurabh Rajpal and Mahmoud Houmsse

Open Access

|Sep 2024

Abstract

We present a case of a 45-year-old male with symptomatic supraventricular tachycardia. Electrophysiology study and 3-dimensional (3D) electroanatomic mapping showed a focal atrial tachycardia originating from a large left atrial diverticulum. Due to the unusual anatomy, 3D printing models were used to aid successful catheter ablation of the atrial tachycardia.

References

Veen D, Bruning TA, de Groot NMS. Left atrial diverticula: Innocent bystanders or wolves in sheep’s clothing? J Cardiovasc Electrophysiol. 2020 Sep;31(9):2484–2488. doi: 10.1111/jce.14581
Search in Google Scholar Back to article
Terpenning S, Ketai LH, Teague SD, Rissing SM. Prevalence of left atrial abnormalities in atrial fibrillation versus normal sinus patients. Acta Radiol Open. 2016 Jun;5(6):2058460116651899. doi: 10.1177/2058460116651899
Search in Google Scholar Back to article
Stoller JK, Hoffman RM, White RD, Mee RB. Anomalous hepatic venous drainage into the left atrium: an unusual cause of hypoxemia. Respir Care. 2003 Jan;48(1):58–62. PMID: 12556263
Search in Google Scholar Back to article
Georghiou GP, Erez E, Bruckheimer E, Dagan O, Vidne BA, Birk E. Anomalous hepatic venous drainage. Ann Thorac Surg. 2005 Sep;80(3):1113–5. doi: 10.1016/j.athoracsur.2004.03.014
Search in Google Scholar Back to article
Bouchardy J, Therrien J, Pilote L, et al. Atrial arrhythmias in adults with congenital heart disease. Circulation. 2009 Oct 27;120(17):1679–86. doi: 10.1161/CIRCULATIONAHA.109.866319
Search in Google Scholar Back to article
Kirsh JA, Walsh EP, Triedman JK. Prevalence of and risk factors for atrial fibrillation and intra-atrial reentrant tachycardia among patients with congenital heart disease. Am J Cardiol. 2002 Aug 1;90(3):338–40. doi: 10.1016/s0002-9149(02)02480-3
Search in Google Scholar Back to article
Chiu SN, Lin JL, Chang CC, et al. Radiofrequency ablation of a concealed right anterior accessory pathway associated with right atrial diverticulum in a child. Pacing Clin Electrophysiol. 2005 Jan;28(1):72–4. doi: 10.1111/j.1540-8159.2005.09295.x
Search in Google Scholar Back to article
Kong LC, Shuang T, Zhao L, Pu J, Wang XH. Catheter Ablation of a Right Atrial Free Wall Diverticulum-Related Accessory Pathway Masquerading as a Septal One. Int Heart J. 2023 Mar 31;64(1):81–84. doi: 10.1536/ihj.22-267
Search in Google Scholar Back to article
Maeda S, Kawabata M, Tsuda Y, Hirao K. Epicardial macroreentrant atrial tachycardia involving a large left atrial roof diverticulum: insights using high-resolution coherent mapping. Eur Heart J Case Rep. 2020 Oct;4(5):1–2. doi: 10.1093/ehjcr/ytaa268
Search in Google Scholar Back to article
Tracy CM, Swartz JF, Fletcher RD, et al. Radiofrequency catheter ablation of ectopic atrial tachycardia using paced activation sequence mapping. J Am Coll Cardiol. 1993 Mar 15;21(4):910–7. doi: 10.1016/0735-1097(93)90346-3
Search in Google Scholar Back to article
Tack P, Victor J, Gemmel P, Annemans L. 3D-printing techniques in a medical setting: a systematic literature review. Biomed Eng Online. 2016 Oct 21;15(1):115. doi: 10.1186/s12938-016-0236-4
Search in Google Scholar Back to article
Celi S, Gasparotti E, Capellini K, et al. 3D Printing in Modern Cardiology. Curr Pharm Des. 2021;27(16):1918–1930. doi: 10.2174/1381612826666200622132440
Search in Google Scholar Back to article
Terentes-Printzios D, Xydis P, Gourgouli I, et al. 3D printing for ablation planning in patients undergoing atrial fibrillation ablation: Preliminary results of the pilot randomized 3D GALA trial. Hellenic J Cardiol. 2023 May-Jun;71:64–66. doi: 10.1016/j.hjc.2022.12.004
Search in Google Scholar Back to article
Ho DR, Luery SE, Ghosh RM, et al. Cardiovascular 3-D Printing: Value-Added Assessment Using Time-Driven Activity-Based Costing. J Am Coll Radiol. 2020 Nov;17(11):1469–1474. doi: 10.1016/j.jacr.2020.05.007
Search in Google Scholar Back to article

Articles in this issue

DOI: https://doi.org/10.14797/mdcvj.1429 | Journal eISSN: 1947-6108

Journal RSS Feed

Language: English

Page range: 98 - 105

Submitted on: Jun 3, 2024

Accepted on: Aug 7, 2024

Published on: Sep 30, 2024

Published by: Houston Methodist DeBakey Heart & Vascular Center

In partnership with: Paradigm Publishing Services

Keywords:

congenital heart disease

© 2024 Natee Sirinvaravong, Rachel Fenberg, Kyle K. VanKoevering, Megan Malara, Anthony W. Salmeron, Saurabh Rajpal, Mahmoud Houmsse, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.

Volume 20 (2024): Issue 1