Catheter Ablation of Cardiac Arrhythmias in Children and Patients with Congenital Heart Disease

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

PART I: Introductory Concepts

1. Development and Morphologic Aspects of the Cardiac Conduction System in Normal Hearts and Congenital Heart Defects

2. Tachycardia Mechanisms in Children with Normal Hearts and in Patients of all Ages with Congenital Heart DefectsEdward P. Walsh and Audrey Dionne

3. Physical Principles of Catheter Ablation

4. Indications for Catheter Ablation in Infants, Children, and Patients with Congenital Heart Disease

5. Cardiac Mapping and Imaging in Pediatrics and Congenital Heart Disease

PART II: Catheter Ablation of Supraventricular Arrhythmias in Young Patients With Structurally Normal Hearts

6. Automatic Atrial and Junctional Ectopic Tachycardia

7. Atrioventricular Nodal Reentrant Tachycardia

8. Accessory Pathways (Atrioventricular pathways and other abnormal connections)

9. Atrial Flutter and Atrial Fibrillation in Young Patients with Normal Hearts

PART III: Ablation of Supraventricular Tachycardia in Congenital Heart Disease

10. Overview of Supraventricular Tachycardias in Patients with Congenital Heart Disease

11. Atrial and Ventricular Septal Defects

12. Catheter Ablation in Atrioventricular Septal Defects

13. Ebstein’s Anomaly

14. Catheter Ablation of Atrial Tachycardia in Tetralogy of Fallot and Double Outlet Right Ventricle

15. Transposition of the Great Vessels with Mustard / Senning Repair

16. Catheter Ablation of Supraventricular Tachycardia in Congenitally Corrected Transposition of the Great Arteries

17. Heterotaxy Syndrome and Twin AV node Tachycardia

18. Catheter Ablation in Univentricular Hearts following Fontan Procedure

PART VI: Catheter Ablation of Ventricular Arrhythmias in Pediatrics and Congenital Heart Disease

19. Ventricular Arrhythmias in Patients with Structurally Normal Hearts

20. Catheter Ablation of Ventricular Tachycardia in Congenital Heart Disease

21. Role of Interventional Procedures in Channelopathies: Catheter Ablation and Sympathectomy

PART V: Miscellaneous Topics

22. Technical Refinements for Catheter Ablation in Young / Small Children

23. Technical Refinements for Ablation in Adults with Complex Vascular and Intracardiac Anatomy, Including Difficult Transseptal Access

24. Minimizing Radiation Exposure During Ablation in Young Patients

25. Sedation and Anesthesia in Patients Undergoing Catheter Ablation

26. Surgery for Arrhythmia Management in Congenital Heart Disease: The Electrophysiologist’s Prospective

27. Surgery for Arrhythmia Management in Congenital Heart Disease: The Surgeon’s Prospective

28. The Real World: Cost Considerations According to Geographic Location

29. Future Directions

Edward P. Walsh, MD, is currently the Associate Chief of Cardiology for Clinical Affairs, and Division Chief for Cardiac Electrophysiology at Boston Children’s Hospital. He is Professor of Pediatrics at Harvard Medical School and the LJ Sloss Professor of Cardiology.

George F. Van Hare, MD, is currently Professor of Pediatrics at Washington University in St. Louis, and also serves as a Medical Officer for the U.S. Food and Drug Administration’s Office of Cardiovascular Devices.

Paul Khairy, MD, PhD, is currently Professor of Medicine at the University of Montreal, the André Chagnon Research Chair in Electrophysiology and Adult Congenital Heart Disease, Scientific Director of the Montreal Heart Institute Adult Congenital Centre, and Director of Clinical Epidemiology and Outcomes Research at the Montreal Health Innovations Coordinating Centre (MHICC).

Mohammad Shenasa, MD, is Professor Emeritus, University of Pittsburgh, Heart & Rhythm Medical Group in Monte Sereno, California and Department of Cardiovascular Services, O’Connor Hospital in San Jose, California.