Giant diverticulum of coronary sinus with multiple accessory pathways treated with catheter ablation

2021 ◽  
pp. 1-4
Author(s):  
Sinem N. Selcuk ◽  
İlker Ertugrul ◽  
Tevfik Karagoz

Abstract Coronary sinus abnormalities are usually associated with arrhythmia disorders when symptomatic. We report a 5-year-old 14 kg patient with a giant diverticulum of coronary sinus and Wolff-Parkinson-White syndrome. Catheter ablation therapy was decided during follow-up due to inadequate response to multidrug therapy. Posteroseptal and left posterolateral accessory pathways were established and radiofrequency ablation was performed successfully through coronary sinus.

2005 ◽  
Vol 15 (3) ◽  
pp. 315-318 ◽  
Author(s):  
Radu Vatasescu ◽  
Laszlo Kornyei ◽  
Tamas Szili-Torok

Radiofrequency lesions can, theoretically, be the substrate for new persistent arrhythmias. As far as we know, this has never previously been encountered after transcatheter ablation of accessory pathways. A child with Wolff–Parkinson–White syndrome was referred for radiofrequency catheter ablation of a left-sided accessory pathway. After successful ablation of the accessory pathway using a retrograde transaortic approach, the child developed an incessant wide QRS complex tachycardia at slow rate that was resistant to pharmacologic interventions. The focus of the tachycardia was identical to the ventricular site of insertion of the eliminated accessory pathway.


2010 ◽  
Vol 20 (2) ◽  
pp. 214-217
Author(s):  
Jae K. Ko ◽  
Young H. Kim ◽  
In S. Park

AbstractA 2-month-old baby was resuscitated from ventricular fibrillation attributed to a concurrent chaotic atrial tachycardia with Wolff-Parkinson-White syndrome. He underwent successful radiofrequency catheter ablation of an accessory pathway. Throughout the 4-year follow-up after the procedure, the boy remained free of any drugs, was in sinus rhythm without ventricular pre-excitation and his growth and development were normal.


2018 ◽  
Vol 121 (8) ◽  
pp. e63
Author(s):  
Muhammet Bugra Karaaslan ◽  
Ali Deniz ◽  
Onur Sinan Deveci ◽  
Mehmet Kanadasi ◽  
Mesut Demir

1984 ◽  
Vol 4 (4) ◽  
pp. 685-694 ◽  
Author(s):  
John D. Fisher ◽  
Richard Brodman ◽  
Soo G. Kim ◽  
Jeffrey A. Matos ◽  
L. Elizabeth Brodman ◽  
...  

2014 ◽  
Vol 5 (4) ◽  
pp. 60-72
Author(s):  
S E Mamchur ◽  
A V Ardashev

The causes of sudden cardiac death in patients with Wolff-Parkinson-White syndrome are considered; necessity of endocardial electrophysiological study and radiofrequency catheter ablation is discussed, including asymptomatic patients with accessory pathways.


2002 ◽  
Vol 12 (6) ◽  
pp. 542-548
Author(s):  
Pedro Iturralde ◽  
Leonardo Rivera-Rodríguez ◽  
Milton E. Guevara-Valdivia ◽  
Luis Colín ◽  
Manlio F. Márquez ◽  
...  

Discordant atrioventricular connections associated with Wolff-Parkinson-White syndrome increase the challenge of radiofrequency ablation. We report the results and techniques of radiofrequency ablation in three patients with discordant atrioventricular connections, including one patient having double outlet right ventricle with atrioventricular reentry tachycardias. There were two males and one female, aged 14 and 22 years old. We found four accessory pathways during our electrophysiological studies, with two of them manifest on the electrocardiogram, corresponding to left paraseptal and right midseptal regions. The electrophysiological study confirmed this localization, and showed two concealed accessory pathways in the right and left paraseptal regions. Radiofrequency ablation was successful in all cases without recurrence at a mean follow-up of 18.6 months. No complications were observed during the procedures. We conclude that radiofrequency ablation is feasible and effective in the ablation of accessory pathways in patients with discordant atrioventricular connections.


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