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Since transesophageal echocardiography before catheter ablation showed a left atrial thrombus, ablation was performed using a 3D mapping system under AF. After marking the functional tricuspid anulus with intra\u2010cardiac echocardiography, 3D intra\u2010cardiac electrogram visualization (ripple map) during AF enabled clear identification of location of the AP. After ablation, there was no complication of cerebral infarction, and the heart failure improved.<\/jats:p>","DOI":"10.1111\/pace.14404","type":"journal-article","created":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T16:34:46Z","timestamp":1636475686000},"page":"431-434","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Accessory pathway ablation during atrial fibrillation in Ebstein anomaly"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4743-9902","authenticated-orcid":false,"given":"Taro","family":"Miyamoto","sequence":"first","affiliation":[{"name":"The Second Department of Internal Medicine University of Occupational and Environmental Health  Kitakyushu 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