[Wolff-Parkinson-White syndrome cured with diagnostic electrode catheter].
Catheter-induced mechanical trauma to accessory pathways is an infrequent, usually transitory phenomenon related to manipulation of the ablation catheter. We describe a patient with Wolff-Parkinson-White syndrome due to a midseptal accessory pathway with recurrent episodes of paroxysmal tachycardias under antiarrhythmic treatment. During the diagnostic electrophysiological study coinciding with manipulation of the His catheter (5 French), mechanical trauma to the accessory pathways occurred, with preexcitation not being recovered in the midterm follow up (28 months). This is a exceptional case demonstrating the complexity of the decision making (expectant or rescue ablation) following accidental catheter-induced mechanical trauma.
Unidad de Arritmias, Servicio de Cardiología, Hospital Universitario Virgen de las Nieves, Granada. ltercedors@meditex.es
G
G
Moreno Terribas
J
J
Azpitarte Almagro
L
L
Tercedor Sánchez
M
M
Alvarez López
D000328:Adult; D006328:Cardiac Catheterization / Q000009:adverse effects*; D004566:Electrodes; D006801:Humans; D008297:Male; D012074:Remission Induction; D014927:Wolff-Parkinson-White Syndrome / Q000628:therapy*