[Pathophysiology of auricular flutter and fibrillation in patients with Wolff-Parkinson-White syndrome. A case successfully treated by fulguration of the bundle of His].
Atrial flutter and fibrillation are common in patients with Wolff-Parkinson-White syndrome. Pathophysiology of these arrhythmias is poorly understood. Treatment is empirical and oriented to symptomatology. Here we describe a patient with Wolff-Parkinson-White syndrome with paroxysmal reentrant orthodromic AV tachycardias and atrial flutter episodes that disappeared after His Bundle fulguration. This suggests that a complete AV reentry circuit favored the occurrence of atrial flutter in this patient.
Fabregat
J R
JR
Unidad Coronaria del Hospital Español de México.
Puech
P
P
D000368:Aged; D001281:Atrial Fibrillation / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery; D001282:Atrial Flutter / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery; D002036:Bundle of His / Q000601:surgery*; D004562:Electrocardiography; D004564:Electrocoagulation; D006801:Humans; D008297:Male; D014927:Wolff-Parkinson-White Syndrome / Q000150:complications*
Patofisiología del flutter y la fibrilación auriculares en los pacientes con síndrome de Wolff-Parkinson-White. En relación a un caso tratado con éxito por fulguración del haz de His.