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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences
2018
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Materias: | |
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 |
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author | Eslami, Masoud Mollazadeh, Reza Sattarzadeh-Badkoubeh, Roya |
author_facet | Eslami, Masoud Mollazadeh, Reza Sattarzadeh-Badkoubeh, Roya |
author_sort | Eslami, Masoud |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6191576 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-61915762018-10-22 Gerbode type defect after trans-septal puncture for ablation of left-sided accessory pathway Eslami, Masoud Mollazadeh, Reza Sattarzadeh-Badkoubeh, Roya ARYA Atheroscler Case Report 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. Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences 2018-05 /pmc/articles/PMC6191576/ /pubmed/30349577 http://dx.doi.org/10.22122/arya.v14i3.1671 Text en © 2018 Isfahan Cardiovascular Research Center & Isfahan University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly. |
spellingShingle | Case Report Eslami, Masoud Mollazadeh, Reza Sattarzadeh-Badkoubeh, Roya Gerbode type defect after trans-septal puncture for ablation of left-sided accessory pathway |
title | Gerbode type defect after trans-septal puncture for ablation of left-sided
accessory pathway |
title_full | Gerbode type defect after trans-septal puncture for ablation of left-sided
accessory pathway |
title_fullStr | Gerbode type defect after trans-septal puncture for ablation of left-sided
accessory pathway |
title_full_unstemmed | Gerbode type defect after trans-septal puncture for ablation of left-sided
accessory pathway |
title_short | Gerbode type defect after trans-septal puncture for ablation of left-sided
accessory pathway |
title_sort | gerbode type defect after trans-septal puncture for ablation of left-sided
accessory pathway |
topic | Case Report |
url | 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 |
work_keys_str_mv | AT eslamimasoud gerbodetypedefectaftertransseptalpunctureforablationofleftsidedaccessorypathway AT mollazadehreza gerbodetypedefectaftertransseptalpunctureforablationofleftsidedaccessorypathway AT sattarzadehbadkoubehroya gerbodetypedefectaftertransseptalpunctureforablationofleftsidedaccessorypathway |