[Trans-septal puncture for radiofrequency ablation of left accessory pathway].
We present the case of an 18-year-old male patient with diagnosis of Wolff Parkinson-White syndrome due to a left free wall accessory pathway. We performed an electrophysiology study and transseptal punction guided by transesophageal echocardiogram to via access to the left atrium. We performed successful radiofrequency ablation of the accessory pathway, observing disappearance of the delta wave on the first attempt. There were no complications. In follow-up a 10 months, the patient had no clinical nor electrocardiographic evidence of recurrence. Transseptal radiofrequency ablation is an alternative for treatment of some arrhythmias localized in the left side of the heart.
Departamento de Electrofisiología, Instituto Nacional de Cardiología Ignacio Chávez, Juan Badiano 1, Colonia Sección XVI, Tlalpan, 14080 México, D. F. lauraleticiar@yahoo.com
Laura L
LL
Rodríguez-Chávez
Milton E
ME
Guevara-Valdivia
Celso
C
Mendoza-González
Luis
L
Colin-Lizalde
Pedro
P
Iturralde
Manlio F
MF
Márquez
Ernesto
E
Ban-Hayashi
D000293:Adolescent; D017115:Catheter Ablation / Q000379:methods*; D006801:Humans; D008297:Male; D011677:Punctures; D014927:Wolff-Parkinson-White Syndrome / Q000601:surgery*