DOI QR코드

DOI QR Code

Successful Ablation of Resistant Left Lateral Accessory Pathway and Coexisting Atypical Atrioventricular Nodal Reentrant Tachycardia

  • Namgung, June (Division of Cardiology, Department of Internal Medicine, Inje University College of Medicine, Ilsan Paik Hospital)
  • 발행 : 2013.03.30

초록

A 41-year-old male was presented with drug-resistant supraventricular tachycardia. Electrophysiological study confirmed that the supraventricular tachycardia was caused by dual atrioventricular nodal pathways and a left lateral accessory pathway (AP). The left lateral AP was resistant to traditional endocardial ablation, but was successfully eliminated by radiofrequency ablation via the intracoronary sinus approach.

키워드

참고문헌

  1. Chen YJ, Chen SA, Chiang CE, et al. Dual AV node pathway physiology in patients with Wolff-Parkinson-White syndrome. Int J Cardiol 1996; 56:275-81. https://doi.org/10.1016/0167-5273(96)02762-3
  2. Becker AE, Anderson RH, Durrer D, Wellens HJ. The anatomical substrates of wolff-parkinson-white syndrome. A clinicopathologic correlation in seven patients. Circulation 1978;57:870-9. https://doi.org/10.1161/01.CIR.57.5.870
  3. Jackman WM, Wang XZ, Friday KJ, et al. Catheter ablation of accessory atrioventricular pathways (Wolff-Parkinson-White syndrome) by radiofrequency current. N Engl J Med 1991;324:1605-11. https://doi.org/10.1056/NEJM199106063242301
  4. Calkins H, Langberg J, Sousa J, et al. Radiofrequency catheter ablation of accessory atrioventricular connections in 250 patients. Abbreviated therapeutic approach to Wolff-Parkinson-White syndrome. Circulation 1992;85:1337-46. https://doi.org/10.1161/01.CIR.85.4.1337
  5. Lesh MD, Van Hare GF, Schamp DJ, et al. Curative percutaneous catheter ablation using radiofrequency energy for accessory pathways in all locations: results in 100 consecutive patients. J Am Coll Cardiol 1992;19:1303-9. https://doi.org/10.1016/0735-1097(92)90338-N
  6. Haissaguerre M, Gaita F, Fischer B, Egloff P, Lemetayer P, Warin JF. Radiofrequency catheter ablation of left lateral accessory pathways via the coronary sinus. Circulation 1992;86:1464-8. https://doi.org/10.1161/01.CIR.86.5.1464