# Usefulness of the ripple map and late annotation mapping to visualize an activation pattern within Koch's triangle in a patient with persistent left superior vena cava

**Authors:** Takashi Kanda, Hitoshi Minamiguchi, Riku Iwami, Osamu Iida, Yoshiharu Higuchi

PMC · DOI: 10.1002/joa3.70030 · Journal of Arrhythmia · 2025-03-04

## TL;DR

This paper shows how new mapping techniques help treat heart rhythm issues in patients with a rare vein structure.

## Contribution

A novel use of Ripple and LAM modules for ablation targeting in patients with persistent left superior vena cava.

## Key findings

- High-resolution mapping identified slow pathway ablation targets in a PLSVC patient.
- The approach overcame anatomical challenges in AVNRT treatment.
- It offers a more effective strategy for complex cases.

## Abstract

High‐resolution mapping with Ripple and LAM modules enabled precise identification of slow pathway ablation targets in a PLSVC patient. This novel approach overcame anatomical challenges, offering a more effective strategy for AVNRT treatment in complex cases.

## Full-text entities

- **Diseases:** PLSVC (MESH:D000083402)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11876991/full.md

## References

5 references — full list in the complete paper: https://tomesphere.com/paper/PMC11876991/full.md

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Source: https://tomesphere.com/paper/PMC11876991