Dual conduction in a Mahaim fiber.

Abstract:

:The case of an 8-year-old girl with incessant nonsustained left bundle branch block-like tachycardia refractory to antiarrhythmic drug therapy is reported. Electrophysiologic study revealed the presence of a right-sided accessory atriofascicular pathway. Episodes of nonsustained tachycardia were found to be based upon a dual response in AV conduction over the Mahaim fiber to one P wave. No reentrant tachycardia could be induced. The arrhythmia was cured by catheter ablation targeting a Mahaim potential at the right lateral tricuspid annulus. The findings can be explained by longitudinal dissociation in a single Mahaim fiber, a fiber distally diverging into two fibers with different conduction times, or (less likely) two closely located Mahaim fibers with different conduction times.

authors

Sternick EB,Sosa EA,Scanavacca MI,Wellens HJ

doi

10.1046/j.1540-8167.2004.04036.x

keywords:

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

1212-5

issue

10

eissn

1045-3873

issn

1540-8167

pii

JCE04036

journal_volume

15

pub_type

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