We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Successful ablation of a right epicardial accessory pathway via the right ventricular diverticulum in a patient with Wolff‐Parkinson‐White syndrome.
- Authors
Zhang, Zhijun; Ma, Changsheng; Li, Xuewen; Qu, Lijuan; Zhao, Bingye; Bai, Rong
- Abstract
Introduction: We describe one rare case of successful ablation of a right epicardial accessory pathway (AP) via the right ventricular diverticulum in a patient with Wolff‐Parkinson‐White syndrome. Methods: A 42‐year‐old woman was referred to the hospital for a catheter ablation of Wolf‐Parkinson‐White syndrome. The earliest activation was shown to be present in the region of the tricuspid annulus. However, ablation had no effect on the AP. Results: We decided to do a selected angiography, in which a big diverticulum near the right tricuspid annulus was shown to be present. Ablation in this region successfully repressed the AP without any recurrences within a follow‐up period of 12 months. Conclusion: The ventricular diverticulum‐mediated AP is a novel variant of pre‐excitation. It can serve as an anatomical substrate of supraventricular tachycardia, and can be ablated endocardially using an irrigation tip catheter within the diverticulum.
- Subjects
WOLFF-Parkinson-White syndrome; CONGENITAL heart disease; CATHETER ablation; TRICUSPID valve; TREATMENT effectiveness; SUPRAVENTRICULAR tachycardia; DIVERTICULUM; ELECTROCARDIOGRAPHY; ARRHYTHMIA; ANGIOGRAPHY; HIS bundle; RARE diseases; DISEASE complications
- Publication
Journal of Cardiovascular Electrophysiology, 2023, Vol 34, Issue 5, p1302
- ISSN
1045-3873
- Publication type
Article
- DOI
10.1111/jce.15899