1st Edition

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

    344 Pages 172 Color & 53 B/W Illustrations
    by CRC Press

    344 Pages 172 Color & 53 B/W Illustrations
    by CRC Press

    344 Pages 172 Color & 53 B/W Illustrations
    by CRC Press

    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
    Alan Sugrue, Ilya Y. Shadrin, and Samuel J. Asirvatham
    2. Tachycardia Mechanisms in Children with Normal Hearts and in Patients of all Ages with Congenital Heart Defects
    Edward P. Walsh and Audrey Dionne

    3. Physical Principles of Catheter Ablation
    Jason G. Andrade and Paul Khairy

    4. Indications for Catheter Ablation in Infants, Children, and Patients with Congenital Heart Disease
    George F. Van Hare and Jennifer N. Avari Silva

    5. Cardiac Mapping and Imaging in Pediatrics and Congenital Heart Disease
    Mohammad Shenasa and Sabine Ernst

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

    6. Automatic Atrial and Junctional Ectopic Tachycardia
    Johannes C. von Alvensleben and Kathryn K. Collins    

    7. Atrioventricular Nodal Reentrant Tachycardia
    Jennifer N. Avari Silva and George F. Van Hare

    8. Accessory Pathways (Atrioventricular pathways and other abnormal connections)
    Elizabeth S. DeWitt and John K. Triedman    

    9. Atrial Flutter and Atrial Fibrillation in Young Patients with Normal Hearts
    Henry Chubb and Anne M. Dubin

    PART III: Ablation of Supraventricular Tachycardia in Congenital Heart Disease

    10. Overview of Supraventricular Tachycardias in Patients with Congenital Heart Disease
    Natasja M.S. de Groot and Nawin Ramdat Misier
    11. Atrial and Ventricular Septal Defects
    Pablo Ávila and Irene Martin de Miguel

    12. Catheter Ablation in Atrioventricular Septal Defects 
    Victor Waldman and Paul Khairy
    13. Ebstein’s Anomaly
    Jeremy P. Moore

    14. Catheter Ablation of Atrial Tachycardia in Tetralogy of Fallot and Double Outlet Right Ventricle
    Edward T. O’Leary and Douglas Y. Mah  

    15. Transposition of the Great Vessels with Mustard / Senning Repair
    Joachim Hebe and Jan-Hendrik Nurnberg

    16. Catheter Ablation of Supraventricular Tachycardia in Congenitally Corrected Transposition of the Great Arteries 
    Elizabeth D. Sherwin and Charles I. Berul

    17. Heterotaxy Syndrome and Twin AV node Tachycardia
    Richard J. Czosek and Edward P. Walsh
    18. Catheter Ablation in Univentricular Hearts following Fontan Procedure
    Frank A. Fish and Jeremy P. Moore

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

    19. Ventricular Arrhythmias in Patients with Structurally Normal Hearts
    Ronald J. Kanter and Mohammad Shenasa
    20. Catheter Ablation of Ventricular Tachycardia in Congenital Heart Disease
    Katja Zeppenfeld and Yoshitaka Kimura

    21. Role of Interventional Procedures in Channelopathies: Catheter Ablation and Sympathectomy
    Georgia Sarquella Brugada and Koonlawee Nademanee

    PART V: Miscellaneous Topics

    22.  Technical Refinements for Catheter Ablation in Young / Small Children
    Michael J. Silka and Yaniv Bar-Cohen

    23. Technical Refinements for Ablation in Adults with Complex Vascular and Intracardiac Anatomy, Including Difficult Transseptal Access
    Matthew R. Williams and James C. Perry

    24. Minimizing Radiation Exposure During Ablation in Young Patients
    Ellis Rochelson and Robert H. Pass

    25. Sedation and Anesthesia in Patients Undergoing Catheter Ablation
    James A. DiNardo and Dima G. Daaboul

    26. Surgery for Arrhythmia Management in Congenital Heart Disease: The Electrophysiologist’s Prospective
    Barbara J. Deal and Sabrina Tsao
    27. Surgery for Arrhythmia Management in Congenital Heart Disease: The Surgeon’s Prospective
    Eric N. Feins and Sitaram M. Emani

    28. The Real World: Cost Considerations According to Geographic Location
    Alpay Celiker and Maria MIszczak Knecht

    29. Future Directions
    Edward P. Walsh, George F. Van Hare, Paul Khairy, Mohammad Shenasa


    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.