Nonsurgical transthoracic epicardial ablation for the treatment of a resistant posteroseptal accessory pathway.
A case of Wolff-Parkinson-White syndrome successfully treated by transcutaneous epicardial radiofrequency ablation is described in a patient with a posteroseptal accessory pathway who had failed prior attempts of conventional endocardial and coronary venous system approaches. Simultaneous endocardial and pericardial space mapping was performed and only ablation from the pericardial space was successful, suggesting an epicardial course of the accessory pathway.
de Paola
Angelo A V
AA
Department of Clinical Cardiac Electrophysiology, Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil. depaola@uol.com.br
Leite
Luiz R
LR
Mesas
Cézar E
CE
D018780:Body Surface Potential Mapping; D006328:Cardiac Catheterization; D017115:Catheter Ablation / Q000379:methods*; D004562:Electrocardiography; D005500:Follow-Up Studies; D006329:Heart Conduction System / Q000601:surgery; D006346:Heart Septum / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000601:surgery*; D014927:Wolff-Parkinson-White Syndrome / Q000601:surgery*