Gerbode type defect after trans-septal puncture for ablation of left-sided accessory pathway

BACKGROUND: Trans-septal puncture (TSP) is a safe and effective method to approach left atrium and ventricle. Nowadays, cardiac electrophysiologists perform this procedure routinely to treat left-sided arrhythmias. CASE REPORT: A 45-year-old man was referred to our center due to Wolff-Parkinson-Whit...

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Detalles Bibliográficos
Autores principales: Eslami, Masoud, Mollazadeh, Reza, Sattarzadeh-Badkoubeh, Roya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191576/
https://www.ncbi.nlm.nih.gov/pubmed/30349577
http://dx.doi.org/10.22122/arya.v14i3.1671
Descripción
Sumario:BACKGROUND: Trans-septal puncture (TSP) is a safe and effective method to approach left atrium and ventricle. Nowadays, cardiac electrophysiologists perform this procedure routinely to treat left-sided arrhythmias. CASE REPORT: A 45-year-old man was referred to our center due to Wolff-Parkinson-White (WPW) syndrome. After trans-septal puncture, contrast injection into the sheath showed that it was in the left ventricle (LV) rather than left atrium. Trans-esophageal echocardiography confirmed left ventricle outflow tract to right atrial (RA) jet. Follow-up echocardiography showed that the tract was present up to 18 months, but considering that the patient was asymptomatic, endovascular or surgical closure was not done. CONCLUSION: Our case with an 18-month follow-up period, highlights the conservative approach in asymptomatic patients with this complication.

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