Case 37

Bradley P. Knight

doi:10.1007/978-1-84996-390-9_37

Case 37

Bradley P. Knight^*

^*Corresponding author for this work

Medicine, Cardiology Division

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

A 25-year-old woman with Wolff-Parkinson-White syndrome was referred for catheter ablation. The 12-lead EKG is consistent with an anteroseptal accessory pathway (AP) (Fig. 37.1). A previous attempt at ablation of the AP was aborted due to its proximity to the His bundle. Another attempt at ablation was made. The baseline rhythm was sinus with ventricular preexcitation. Orthodromic AVRT was inducible and the AP had a short refractory period that was less than 250 ms. The earliest ventricular activation during sinus rhythm was at a site where there was also a large His bundle recording during block in the AP. How would you proceed?

Original language	English (US)
Title of host publication	Cardiac Electrophysiology
Subtitle of host publication	Clinical Case Review
Publisher	Springer London
Pages	153-155
Number of pages	3
ISBN (Print)	9781849963893
DOIs	https://doi.org/10.1007/978-1-84996-390-9_37
State	Published - 2011

ASJC Scopus subject areas

Medicine(all)

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10.1007/978-1-84996-390-9_37

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abstract = "A 25-year-old woman with Wolff-Parkinson-White syndrome was referred for catheter ablation. The 12-lead EKG is consistent with an anteroseptal accessory pathway (AP) (Fig. 37.1). A previous attempt at ablation of the AP was aborted due to its proximity to the His bundle. Another attempt at ablation was made. The baseline rhythm was sinus with ventricular preexcitation. Orthodromic AVRT was inducible and the AP had a short refractory period that was less than 250 ms. The earliest ventricular activation during sinus rhythm was at a site where there was also a large His bundle recording during block in the AP. How would you proceed?",

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AB - A 25-year-old woman with Wolff-Parkinson-White syndrome was referred for catheter ablation. The 12-lead EKG is consistent with an anteroseptal accessory pathway (AP) (Fig. 37.1). A previous attempt at ablation of the AP was aborted due to its proximity to the His bundle. Another attempt at ablation was made. The baseline rhythm was sinus with ventricular preexcitation. Orthodromic AVRT was inducible and the AP had a short refractory period that was less than 250 ms. The earliest ventricular activation during sinus rhythm was at a site where there was also a large His bundle recording during block in the AP. How would you proceed?

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EP - 155

BT - Cardiac Electrophysiology

PB - Springer London

ER -

Case 37

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