Kent bundle visualized in situ at operation after unsuccessful radiofrequency ablation.
Kent bundles are seldom visualized at operation, but, in the patient described, the pathway was subepicardial, running superficial to the right coronary artery. This was probably why radiofrequency ablation failed. When this unusual pathway course is encountered, the epicardial approach should be used at operation.
Martinez-Leon
J
J
Service of Cardiovascular Surgery, Hospital Clínico Universitario, Valencia, Spain.
Garcia-Civera
R
R
Sanjuan
R
R
Otero-Coto
E
E
D000328:Adult; D017115:Catheter Ablation; D004562:Electrocardiography; D006329:Heart Conduction System / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D017211:Treatment Failure; D014927:Wolff-Parkinson-White Syndrome / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*