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Europace Advance Access published online on March 6, 2008
Europace, doi:10.1093/europace/eun055
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

CASE REPORT

Successful slow pathway ablation for atrioventricular nodal re-entrant tachycardia via a hypoplastic inferior vena cava in a patient with an azygos continuation

Elena Arbelo*, Eduardo Caballero and Alfonso Medina

Cardiology Department, Hospital Universitario de Gran Canaria Dr Negrín, Crta. General del Centro 239, Las Palmas de Gran Canaria, 35017 Las Palmas, Spain

Catheter ablation of the slow pathway for atrioventricular nodal re-entrant tachycardia (AVNRT) is not always possible due to congenital or acquired obstruction of the inferior vena cava (IVC). Although a superior access has been proposed as an alternative approach, a poor manoeuvrability and a lower stability of the ablation catheter may be potential problems. We report a case of slow pathway ablation for AVNRT in a patient with an azygos continuation using a hypoplastic but uninterrupted IVC.

Key Words: Hypoplastic inferior vena cava, Azygos continuation, AV nodal re-entrant tachycardia, Catheter ablation

* Corresponding author. Tel: +34 636 833058; fax: +34 928 450086. E-mail address: elenaarbelo{at}secardiologia.es

Manuscript submitted 20 January 2008. Accepted after revision 13 February 2008.


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