Abstract
Background: The ablation of supraventricular tachycardia (SVT) in patients with congenital heart disease (CHD), especially transposition of the great arteries (TGA) after atrial switch operation (ASO) or Fontan circulation (FC) is often complicated due to the complex access to the ablation target. To avoid baffle or tunnel puncture, we chose a transaortal retrograde approach to the pulmonary venous atrium, using remote magnetic navigation (RMN). This study takes a look at patients with CHD showing a difficult access to the ablation target. In three of the included patients previous manually guided ablations failed.
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