ABSTRACT

Synopsis: Advances in mapping/imaging and ablation therapies have improved management of complex arrhythmias in patients with congenital heart disease (CHD). Large armamentariums of technologies are nowadays available and provide access to more complex anatomical locations in patients with CHD.

Due to the adverse effects of radiation exposure, noninvasive approaches such as advanced modes of echocardiography, electrocardiographic imaging (ECGI), cardiac computed tomography, and magnetic resonance imaging on one hand and novel mapping system on the other are now available for safe and effective management a variety of arrhythmias in patients with CHD. In addition, the type of mapping using either a manual or a magnetically navigated catheter should be considered where appropriate.

In this chapter, we will briefly discuss the current and novel mapping and imaging systems as well as their applications in patients with CHD.