- •The management of symptomatic atrial tachycardia resistant to drug therapy must be done by endocavitary ablation.
- •Computed tomography scan of the left atrium should be performed frequently. It can highlight anatomical particularity that will lead to an adaptation of the ablation procedure.
- •Success rate of ablation of an atrial tachycardia originating from the left atrial appendage is close to 70% according to the series. The thoracoscopic surgical approach appears to be a good alternative after failure of endocavitary ablation.
Appendix. Supplementary data
- Focal atrial tachycardia originating from the distal portion of the left atrial appendage: characteristics and long-term outcomes of radiofrequency ablation.Europace. 2012; 14: 254-260
- Management of focal atrial tachycardias originating from the atrial appendage with the combination of radiofrequency catheter ablation and minimally invasive atrial appendectomy.Heart Rhythm. 2014; 11: 17-25
- Thoracoscopic appendage exclusion with an AtriClip device as a solo treatment for focal atrial tachycardia.Circulation. 2011; 123: 1575-1578
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