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 Part I|55 pages

Introductory Concepts

chapter Chapter 1|15 pages

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

ByAlan Sugrue, Ilya Y. Shadrin, Samuel J. Asirvatham

chapter Chapter 3|9 pages

Physical Principles of Catheter Ablation

ByJason G. Andrade, Paul Khairy

chapter Chapter 4|5 pages

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

ByGeorge F. Van Hare, Jennifer N. Avari Silva

chapter Chapter 5|14 pages

Cardiac Mapping and Imaging in Pediatrics and Congenital Heart Disease

ByMohammad Shenasa, Sabine Ernst

part Part II|53 pages

Catheter Ablation of Supraventricular Arrhythmias in Young Patients with Structurally Normal Hearts

chapter Chapter 6|9 pages

Automatic Atrial and Junctional Ectopic Tachycardia

ByJohannes C. von Alvensleben, Kathryn K. Collins

chapter Chapter 7|13 pages

Atrioventricular Nodal Reentrant Tachycardia

ByJennifer N. Avari Silva, George F. Van Hare

chapter Chapter 8|20 pages

Accessory Pathways (Atrioventricular Pathways and other Abnormal Connections)

ByElizabeth S. DeWitt, John K. Triedman

chapter Chapter 9|10 pages

Atrial Flutter and Atrial Fibrillation in Young Patients with Normal Hearts

ByHenry Chubb, Anne M. Dubin

part Part III|96 pages

Ablation of Supraventricular Tachycardia in Congenital Heart Disease

chapter Chapter 10|9 pages

Overview of Supraventricular Tachycardias in Patients with Congenital Heart Disease

ByNatasja M.S. de Groot, Nawin L. Ramdat Misier

chapter Chapter 11|12 pages

Atrial and Ventricular Septal Defects

ByPablo Ávila, Irene Martín de Miguel

chapter Chapter 12|7 pages

Catheter Ablation in Atrioventricular Septal Defects

ByVictor Waldmann, Paul Khairy

chapter Chapter 13|12 pages

Ebstein's Anomaly

ByJeremy P. Moore

chapter Chapter 14|9 pages

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

ByEdward T. O’Leary, Douglas Y. Mah

chapter Chapter 15|16 pages

Transposition of the Great Vessels with Mustard/Senning Repair

ByJoachim Hebe, Jan-Hendrik Nürnberg

chapter Chapter 16|8 pages

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

ByElizabeth D. Sherwin, Charles I. Berul

chapter Chapter 17|9 pages

Heterotaxy Syndrome and Twin AV Node Tachycardia

ByRichard J. Czosek, Edward P. Walsh

chapter Chapter 18|13 pages

Catheter Ablation in Univentricular Hearts Following the Fontan Procedure

ByFrank A. Fish, Jeremy P. Moore

part Part IV|57 pages

Catheter Ablation of Ventricular Arrhythmias in Pediatrics and Congenital Heart Disease

chapter Chapter 19|30 pages

Ventricular Arrhythmias in Patients with Structurally Normal Hearts

ByRonald J. Kanter, Mohammad Shenasa

chapter Chapter 20|17 pages

Catheter Ablation of Ventricular Tachycardia in Congenital Heart Disease

ByKatja Zeppenfeld, Yoshitaka Kimura

chapter Chapter 21|9 pages

Role of Interventional Procedures in Channelopathies

Catheter Ablation and Sympathectomy
ByGeorgia Sarquella Brugada, Koonlawee Nademanee

part Part V|59 pages

Miscellaneous Topics

chapter Chapter 22|7 pages

Technical Refinements for Catheter Ablation in Young/Small Children

ByMichael J. Silka, Yaniv Bar-Cohen

chapter Chapter 24|5 pages

Minimizing Radiation Exposure During Ablation in Young Patients

ByEllis Rochelson, Robert H. Pass

chapter Chapter 25|7 pages

Sedation and Anesthesia in Patients Undergoing Catheter Ablation

ByJames A. DiNardo, Dima G. Daaboul

chapter Chapter 26|8 pages

Surgery for Arrhythmia Management in Congenital Heart Disease

The Electrophysiologist's Perspective
ByBarbara J. Deal, Sabrina Tsao

chapter Chapter 27|8 pages

Surgery for Arrhythmia Management in Congenital Heart Disease

The Surgeon's Perspective
ByEric N. Feins, Sitaram M. Emani

chapter Chapter 28|10 pages

The Real World

Cost Considerations According to Geographic Location
ByAlpay Celiker, Maria Miszczak Knecht

chapter Chapter 29|5 pages

Future Directions

ByEdward P. Walsh, George F. Van Hare, Paul Khairy, Mohammad Shenasa