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Koen Selten, MD, Thomas J. Van Brakel, MD, PhD, Henry A

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1 Mapping-guided total excision of the sinoatrial node for inappropriate sinus tachycardia 
Koen Selten, MD, Thomas J. Van Brakel, MD, PhD, Henry A. Van Swieten, MD, PhD, Joep L. Smeets, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 147, Issue 4, Pages e56-e58 (April 2014) DOI: /j.jtcvs Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Epicardial mapping. A, Bipolar atrial epicardial electrograms localized the earliest right atrial activation (red arrow) and identified the sinoatrial node area preexcision. B, Similarly, electrograms localized retrograde atrial activation (red arrow) after excision of the total sinoatrial node area. HR, Heart rate; ECG II, electrocardiographic lead II. The Journal of Thoracic and Cardiovascular Surgery  , e56-e58DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Endocardial mapping of the earliest atrial activation areas (A) and reconstruction of the right atrium after sinus node excision (B). P, Pericardium; ICV, inferior caval vein cannula; B, endoballoon for geometric reconstruction. The Journal of Thoracic and Cardiovascular Surgery  , e56-e58DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions


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