Successful percutaneous epicardial ablation of an accessory pathway located at the right atrial appendage

KOSE S., Başarici I., Kabul K. H., Barçın C.

Turk Kardiyoloji Dernegi Arsivi, cilt.39, sa.7, ss.579-583, 2011 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 39 Sayı: 7
  • Basım Tarihi: 2011
  • Doi Numarası: 10.5543/tkda.2011.01551
  • Dergi Adı: Turk Kardiyoloji Dernegi Arsivi
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.579-583
  • Anahtar Kelimeler: Atrial appendage, Catheter ablation/methods, Heart conduction system, Tachycardia, supraventricular, Treatment failure, Wolff-Parkinson-White syndrome
  • Akdeniz Üniversitesi Adresli: Evet

Özet

In patients with Wolff-Parkinson-White syndrome, difficulty in ablation of accessory pathways is associated with failures and recurrences. Epicardially located accessory pathways may require different management strategies when conventional ablation attempts fail. In particular, an epicardial accessory pathway communicating the right atrial appendage to the right ventricle is an extraordinary situation resulting in difficulties in ablation. Hereby, we report on a challenging case of percutaneous epicardial ablation of an epicardial accessory pathway located at right atrial appendage in a 28-year-old man with Wolff-Parkinson-White syndrome, who had a prior history of unsuccessful endocardial ablation. Percutaneous epicardial ablation may be a viable option obviating the necessity of surgical ablation procedures for difficult ablation cases with epicardial accessory pathways. © 2011 Turkish Society of Cardiology.