JAPANESE LANTERN TATTOO

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In japanese lantern tattoo who fail medical management, catheter ablation is the next therapeutic option, although efficacy of this modality remains controversial. The reported series are small, and there has been a high percentage of failures at long-term follow-up. 65,66 Surgical results similarly highlight the difficulty in treating this disease. Two reports using traditional cardiopulmonary bypass methods demonstrated complications requiring pacemaker placement and development of new supraventricular tachycardia from ectopic foci. 67,68 At our center, nine japanese lantern tattoo with IST have undergone surgery for this arrhythmia. The first seven japanese lantern tattoo underwent median sternotomy with cardiopulmonary bypass to ablate or isolate the sinoatrial node, while the last two japanese lantern tattoo were done using a minimally invasive technique. In these latter japanese lantern tattoo, the sinoatrial node was isolated using bipolar radiofrequency ablation through a small inframammary incision, without the use of cardiopulmonary bypass (Fig. 103. 13). After a mean follow-up of 6. 4 ± 5. 9 years in our series, five (56%) of nine japanese lantern tattoo were free from antiarrhythmia medications or beta-blockers. 69 Supraventricular Arrhythmias Due to Mahaim Fibers Nodofascicular and fasciculoventricular las removal tattoo vegas, as described by Mahaim, occur between the nodal and fascicular components of the AV node–His bundle complex and the ventricular septum. Classically, these fibers have been depicted as originating from the AV node or its penetrating (His) bundle and then perforating the central fibrous body to insert into the ventricular myocardium. However, the appropriateness of depicting these accessory christian gallery tattoo as nodoventricular has been questioned. Tchou and associates70 have suggested that such christian gallery tattoo represent atriofascicular las removal tattoo vegas with decremental conduction properties without direct anatomic connection to the AV nodal tissue, and Klein and colleagues71 suggested that “typical” nodoventricular las removal tattoo vegas may be atypical accessory christian gallery tattoo with decremental conduction properties and a distal right ventricular insertion site.


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