Successful catheter ablation by radiofrequency energy of posteroseptal accessory pathway in a patient with drug refractory Wolff-Parkinson-White syndrome.

Abstract:

:A 45-year-old patient with the Wolff-Parkinson-White syndrome suffering from recurrent intractable reciprocating atrioventricular tachycardia (RAVT) is reported. He used amiodarone, sotalol, quinidine, propafenone and flecainide unsuccessfully. An electrophysiological study (EPS) performed with four catheters localized the site of the anomalous pathway in the ostium of the coronary sinus. In this region we could also record a Kent potential. In the ostium of the coronary sinus, radiofrequency energy was repeatedly applied until the conduction over the accessory pathway was abolished both in the anterograde and the retrograde direction. The Kent deflection detectable before ablation, could not be detected after it. During follow-up (1 month) the patient remained asymptomatic and the control EPS showed no evidence of pre-excitation, either anterogradely or retrogradely.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Delise P,Bonso A,Raviele A,Cazzin R,Di Pede F,Piccolo E

doi

10.1093/eurheartj/12.12.1321

subject

Has Abstract

pub_date

1991-12-01 00:00:00

pages

1321-5

issue

12

eissn

0195-668X

issn

1522-9645

journal_volume

12

pub_type

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