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Preoperative right ventricle voltage mapping in Ebstein’s anomaly: can we make the late arrhythmogenic mortality following the cone procedure zero? 1

  • Lauren A. Weber (a1), Joseph W. May (a2) and Matthew Needleman (a1)

Abstract

A young woman with Epstein’s anomaly had a large endocardial scar in the atrialised ventricular myocardium. In patients with significant preoperative ventricular scarring, more information is needed to help appropriately manage the risk of ventricular arrhythmias and sudden death.

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Corresponding author

Correspondence to: Matthew Needleman, MD, FACC, FHRS, Department of Cardiology, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889, United States of America. Tel: (301) 295-4500; Fax: (844) 487-1390; E-mail: matthew.needleman@usuhs.edu

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1

The views expressed in this article are those of the authors and do not reflect the official policy of the Department of Army/Navy/Air Force, Department of Defense, or U.S. Government. The identification of specific products or scientific instrumentation does not constitute endorsement or implied endorsement on the part of the authors, Department of Defense, or any component agency. Although we generally excise references to products, companies, manufacturers, organisations, etc. in government produced works, this report presents a special circumstance when such product inclusions become an integral part of the scientific endeavour.

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References

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1. da Silva, JP, Baumgratz, JF, da Fonseca, l, et al. The cone reconstruction of the tricuspid valve in Ebstein’s anomaly. The operation: early and midterm results. J Thorac Cardiovasc Surg 2007; 133: 215223.
2. Shivapour, JKL, Sherwin, ED, Alexander, ME, et al. Utility of preoperative electrophysiologic studies in patients with Ebstein’s anomaly undergoing the cone procedure. Heart Rhythm 2014; 11: 182186.
3. Sherwin, ED, Triedman, JK, Walsh, EP. Update on Interventional electrophysiology in congenital heart disease: evolving solutions for complex hearts. Circ Arrhythm Electrophysiol 2013; 6: 10321040.
4. Tsai, SF, Chan, DP, Ro, PS, et al. Rate of inducible ventricular arrhythmias in adults with congenital heart disease. Am J Cardiol 2010; 106: 730736.

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Preoperative right ventricle voltage mapping in Ebstein’s anomaly: can we make the late arrhythmogenic mortality following the cone procedure zero? 1

  • Lauren A. Weber (a1), Joseph W. May (a2) and Matthew Needleman (a1)

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