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Rare left‐sided accessory pathway successfully ablated with atrial insertion site at the left‐side fossa ovalis

Introduction: Left‐sided accessory pathway (AP) with atrial insertion away from the annulus is an atypical variation. Conventional mapping and ablation performed along mitral annulus (MA) is usually ineffective.Methods: A 14‐year‐old girl without structural heart disease presented with recurrent epi...

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Autores principales: Yang, Hongliang, Sun, Huan, Li, Ying, Si, Daoyuan, Zhang, Wenqi, He, Yuquan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9825856/
https://www.ncbi.nlm.nih.gov/pubmed/35900296
http://dx.doi.org/10.1111/jce.15634
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author Yang, Hongliang
Sun, Huan
Li, Ying
Si, Daoyuan
Zhang, Wenqi
He, Yuquan
author_facet Yang, Hongliang
Sun, Huan
Li, Ying
Si, Daoyuan
Zhang, Wenqi
He, Yuquan
author_sort Yang, Hongliang
collection PubMed
description Introduction: Left‐sided accessory pathway (AP) with atrial insertion away from the annulus is an atypical variation. Conventional mapping and ablation performed along mitral annulus (MA) is usually ineffective.Methods: A 14‐year‐old girl without structural heart disease presented with recurrent episodes of sudden onset palpitations and electrocardiogram (ECG) showed a narrow QRS complex tachycardia.Results: Electrophysiology study (EPS) was done and anterograde atrioventricular reentrant tachycardia (AVRT) with AP was diagnosed. Conventional mapping and ablation performed along TA and MA was failed. 3D‐activation mapping found the retrograde atrial insertion site of AP on the left atrium fossa ovalis (FO), and AP was successfully abolished by radiofrequency ablation at that site.Conclusion: As reported, this patient is the first report of ablating a left‐sided AP with retrograde atrial insertion on the left atrium FO.
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spelling pubmed-98258562023-01-09 Rare left‐sided accessory pathway successfully ablated with atrial insertion site at the left‐side fossa ovalis Yang, Hongliang Sun, Huan Li, Ying Si, Daoyuan Zhang, Wenqi He, Yuquan J Cardiovasc Electrophysiol Case Reports Introduction: Left‐sided accessory pathway (AP) with atrial insertion away from the annulus is an atypical variation. Conventional mapping and ablation performed along mitral annulus (MA) is usually ineffective.Methods: A 14‐year‐old girl without structural heart disease presented with recurrent episodes of sudden onset palpitations and electrocardiogram (ECG) showed a narrow QRS complex tachycardia.Results: Electrophysiology study (EPS) was done and anterograde atrioventricular reentrant tachycardia (AVRT) with AP was diagnosed. Conventional mapping and ablation performed along TA and MA was failed. 3D‐activation mapping found the retrograde atrial insertion site of AP on the left atrium fossa ovalis (FO), and AP was successfully abolished by radiofrequency ablation at that site.Conclusion: As reported, this patient is the first report of ablating a left‐sided AP with retrograde atrial insertion on the left atrium FO. John Wiley and Sons Inc. 2022-09-07 2022-10 /pmc/articles/PMC9825856/ /pubmed/35900296 http://dx.doi.org/10.1111/jce.15634 Text en © 2022 The Authors. Journal of Cardiovascular Electrophysiology published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Reports
Yang, Hongliang
Sun, Huan
Li, Ying
Si, Daoyuan
Zhang, Wenqi
He, Yuquan
Rare left‐sided accessory pathway successfully ablated with atrial insertion site at the left‐side fossa ovalis
title Rare left‐sided accessory pathway successfully ablated with atrial insertion site at the left‐side fossa ovalis
title_full Rare left‐sided accessory pathway successfully ablated with atrial insertion site at the left‐side fossa ovalis
title_fullStr Rare left‐sided accessory pathway successfully ablated with atrial insertion site at the left‐side fossa ovalis
title_full_unstemmed Rare left‐sided accessory pathway successfully ablated with atrial insertion site at the left‐side fossa ovalis
title_short Rare left‐sided accessory pathway successfully ablated with atrial insertion site at the left‐side fossa ovalis
title_sort rare left‐sided accessory pathway successfully ablated with atrial insertion site at the left‐side fossa ovalis
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9825856/
https://www.ncbi.nlm.nih.gov/pubmed/35900296
http://dx.doi.org/10.1111/jce.15634
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