Catheter ablation in a patient with a congenital giant right atrial diverticulum presented as Wolff-Parkinson-White syndrome

Pacing Clin Electrophysiol. 1999 Feb;22(2):382-5. doi: 10.1111/j.1540-8159.1999.tb00457.x.

Abstract

A young woman symptomatic for tachycardia showed right ventricular preexcitation on the surface ECG with a pattern during induced atrial fibrillation suggestive of multiple APs. Noninvasive imaging techniques performed prior to catheter ablation demonstrated the presence of a giant right atrial diverticulum confirmed by hemodynamic procedure. This structure functioned as an enormous accessory AP. We performed catheter ablation of this pathway using a special 4-mm multipolar catheter inside the diverticulum. This is the first case of such as anomaly being successfully treated with catheter ablation.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Catheter Ablation*
  • Diverticulum / complications
  • Diverticulum / congenital
  • Diverticulum / surgery*
  • Electrocardiography
  • Female
  • Heart Atria
  • Heart Defects, Congenital / complications
  • Heart Defects, Congenital / surgery*
  • Humans
  • Wolff-Parkinson-White Syndrome / etiology*
  • Wolff-Parkinson-White Syndrome / prevention & control