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A challenging catheter ablation of anteroseptal manifest accessory pathway from non-coronary aortic cusp in a paediatric patient

Published online by Cambridge University Press:  20 January 2023

Merve Maze Aydemir Open the ORCID record for Merve Maze Aydemir [Opens in a new window] ,
Hasan Candas Kafali Open the ORCID record for Hasan Candas Kafali [Opens in a new window]  and
Yakup Ergul Open the ORCID record for Yakup Ergul [Opens in a new window]
Merve Maze Aydemir*
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Hasan Candas Kafali
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Yakup Ergul
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
*
Author for correspondence: Merve Maze Aydemir, Department of Pediatric Cardiology, Mehmet Akif Ersoy Research and Training Hospital, Bezirganbahce Street, Halkali, 34303, Istanbul, Turkey. Tel: +90 212 692 20 00. E-mail: maze_zabun@hotmail.com
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Abstract

Twelve-lead ECG of a child with Wolff–Parkinson–White syndrome and systolic dysfunction was consistent with the anteroseptal accessory pathway. The earliest atrial activation during electrophysiological study was found between the right anteroseptal region near the HIS. Multiple femoral tract right-sided cryotest lesions followed by radiofrequency catheter irrigated through the jugular vein route were unsuccessful. Then, non-coronary aortic cusp mapping and cryoablation were successfully performed with a retroartic approach.

Keywords

Wolff–Parkinson–Whiteaccessory pathwaycatheter ablationnon-coronary aortic cusppaediatrics

Information

Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 8 , August 2023 , pp. 1474 - 1476
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Copyright
© The Author(s), 2023. Published by Cambridge University Press

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References

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