Radiofrequency ablation of a left anterior accessory pathway in a patient with Wolff–Parkinson–White and major venous drainage anomaly

Abstract Anomalies of the venous system may impose serious limitations to the treatment of arrhythmias by means of ablation therapy. We describe a patient who had the Wolff–Parkinson–White syndrome with frequent episodes of antidromic supraventricular tachycardia in whom an ablation was performed. T...

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Bibliographic Details
Published in:International journal of cardiology 2007-08, Vol.120 (2), p.e41-e44
Main Authors: Fuenmayor, Abdel J, Inglessis, John, Bucce, Rosaly, Fuenmayor, Abdel M
Format: Article
Language:English
Subjects:
Accessory pathway
Adolescent
Cardiovascular
Cardiovascular Abnormalities - complications
Cardiovascular Abnormalities - diagnosis
Catheter Ablation - methods
Diagnosis, Differential
Electrocardiography
Follow-Up Studies
Heart Conduction System - physiopathology
Heart Conduction System - surgery
Hemiazygos vein
Humans
Left superior vena cava
Male
Phlebography
Vena Cava, Inferior - abnormalities
Vena Cava, Inferior - diagnostic imaging
Wolff-Parkinson-White Syndrome - complications
Wolff-Parkinson-White Syndrome - physiopathology
Wolff-Parkinson-White Syndrome - surgery
Wolff–Parkinson–White
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Summary:Abstract Anomalies of the venous system may impose serious limitations to the treatment of arrhythmias by means of ablation therapy. We describe a patient who had the Wolff–Parkinson–White syndrome with frequent episodes of antidromic supraventricular tachycardia in whom an ablation was performed. The patient was found to have no inferior vena cava, a hemiazygos vein draining in a persistent left superior vena cava, and a left anterior manifest accessory pathway.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2007.05.003