Concealed left superior accessory pathway. Distinctive features of retrograde atrial activation and successful ablation using transseptal approach

Philippe Maury; Alexandre Duparc; Alain Graffeille; Aurelien Hebrard; Pierre Mondoly; Anne Rollin; Marc Delay

doi:10.1093/europace/eup386

Concealed left superior accessory pathway. Distinctive features of retrograde atrial activation and successful ablation using transseptal approach

Europace. 2010 Apr;12(4):584-6. doi: 10.1093/europace/eup386. Epub 2009 Dec 4.

Authors

Philippe Maury¹, Alexandre Duparc, Alain Graffeille, Aurelien Hebrard, Pierre Mondoly, Anne Rollin, Marc Delay

Affiliation

¹ Unité de Rythmologie et de Stimulation Cardiaque, Fédération de Cardiologie, University Hospital Rangueil, 31059 Toulouse Cedex 09, France. [email protected]

PMID: 19966325
DOI: 10.1093/europace/eup386

Abstract

Concealed left superior accessory pathways are very infrequent and can be difficult to diagnose and ablate. We describe here the case of a patient presenting with reciprocating tachycardia involving superior and inferior left accessory pathways. Left superior accessory pathway was suspected because of the simultaneous retrograde atrial activation at the distal coronary sinus (CS) and His bundle lead and could be successfully ablated using transseptal catheterization.

Publication types

Case Reports

MeSH terms

Bundle of His / physiology
Cardiac Surgical Procedures*
Catheter Ablation / methods*
Coronary Sinus / physiology
Heart Atria / pathology
Heart Atria / physiopathology
Heart Conduction System / pathology
Heart Conduction System / physiopathology
Heart Septum / surgery
Humans
Male
Middle Aged
Tachycardia, Paroxysmal* / pathology
Tachycardia, Paroxysmal* / physiopathology
Tachycardia, Paroxysmal* / surgery
Tachycardia, Supraventricular* / pathology
Tachycardia, Supraventricular* / physiopathology
Tachycardia, Supraventricular* / surgery