Accessory Pathway Ablation Located Just Below The Bundle of His: A Challenging Case

Puspa Lestari; Ardian Rizal; Yoga Waranugraha

doi:10.21776/ub.hsj.2020.001.01.6

Accessory Pathway Ablation Located Just Below The Bundle of His: A Challenging Case

Puspa Lestari^*
, Ardian Rizal
, Yoga Waranugraha

^*Corresponding author for this work

Faculty of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

We presented a case of Wolff-Parkinson-White (WPW) Syndrome. A 69-year-old man was admitted for evaluation of frequent episodes of palpitation. The diagnosis of WPW syndrome was established based on the 12-lead surface electrocardiogram (ECG) and electrophysiology (EP) study. We conducted the radiofrequency ablation (RFA) to the accessory pathway (AP). The challenging point of this case was the accessory pathway located just below to the bundle of His, which is related to the risk of complete atrioventricular (AV) block. In summary, we conclude that anatomical consideration, EP study, and the ablation strategy were important to improve the safety and success rate of RFA procedure.

Original language	English
Pages (from-to)	26-29
Number of pages	4
Journal	Heart Science Journal
Volume	1
Issue number	1
DOIs	https://doi.org/10.21776/ub.hsj.2020.001.01.6
Publication status	Published - Apr 2020

Keywords

Anteroseptal accessory pathway
Atrioventricular reciprocating tachycardia
Catheter ablation
Wolff-Parkinson-White Syndrome

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10.21776/ub.hsj.2020.001.01.6

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title = "Accessory Pathway Ablation Located Just Below The Bundle of His: A Challenging Case",

abstract = "We presented a case of Wolff-Parkinson-White (WPW) Syndrome. A 69-year-old man was admitted for evaluation of frequent episodes of palpitation. The diagnosis of WPW syndrome was established based on the 12-lead surface electrocardiogram (ECG) and electrophysiology (EP) study. We conducted the radiofrequency ablation (RFA) to the accessory pathway (AP). The challenging point of this case was the accessory pathway located just below to the bundle of His, which is related to the risk of complete atrioventricular (AV) block. In summary, we conclude that anatomical consideration, EP study, and the ablation strategy were important to improve the safety and success rate of RFA procedure.",

keywords = "Anteroseptal accessory pathway, Atrioventricular reciprocating tachycardia, Catheter ablation, Wolff-Parkinson-White Syndrome",

author = "Puspa Lestari and Ardian Rizal and Yoga Waranugraha",

year = "2020",

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doi = "10.21776/ub.hsj.2020.001.01.6",

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T1 - Accessory Pathway Ablation Located Just Below The Bundle of His

T2 - A Challenging Case

AU - Lestari, Puspa

AU - Rizal, Ardian

AU - Waranugraha, Yoga

PY - 2020/4

Y1 - 2020/4

N2 - We presented a case of Wolff-Parkinson-White (WPW) Syndrome. A 69-year-old man was admitted for evaluation of frequent episodes of palpitation. The diagnosis of WPW syndrome was established based on the 12-lead surface electrocardiogram (ECG) and electrophysiology (EP) study. We conducted the radiofrequency ablation (RFA) to the accessory pathway (AP). The challenging point of this case was the accessory pathway located just below to the bundle of His, which is related to the risk of complete atrioventricular (AV) block. In summary, we conclude that anatomical consideration, EP study, and the ablation strategy were important to improve the safety and success rate of RFA procedure.

AB - We presented a case of Wolff-Parkinson-White (WPW) Syndrome. A 69-year-old man was admitted for evaluation of frequent episodes of palpitation. The diagnosis of WPW syndrome was established based on the 12-lead surface electrocardiogram (ECG) and electrophysiology (EP) study. We conducted the radiofrequency ablation (RFA) to the accessory pathway (AP). The challenging point of this case was the accessory pathway located just below to the bundle of His, which is related to the risk of complete atrioventricular (AV) block. In summary, we conclude that anatomical consideration, EP study, and the ablation strategy were important to improve the safety and success rate of RFA procedure.

KW - Anteroseptal accessory pathway

KW - Atrioventricular reciprocating tachycardia

KW - Catheter ablation

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M3 - Article

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EP - 29

JO - Heart Science Journal

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Accessory Pathway Ablation Located Just Below The Bundle of His: A Challenging Case

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