title: A permanent junctional reciprocating tachycardia with an atypically located accessory pathway successfully ablated from within the middle cardiac vein.
abstract: Permanent form of junctional reciprocating tachycardia (PJRT) is an uncommon form of atrioventricular re-entrant tachycardia due to an accessory pathway characterized by slow and decremental retrograde conduction. The majority of accessory pathways in PJRT are localized in the posteroseptal zone. Despite the high success rate, failure may occur during endocardial radiofrequency catheter ablation due to epicardial insertion of the accessory pathway. We report a case of PJRT in a 25-year-old man in whom the accessory pathway was located epicardially in the posteroinferior region and ablated from within the middle cardiac vein by radiofrequency catheter ablation.
authors.affiliation: Department of Cardiology, Gulhane GATA Military Medical School, 06018, Etlik, Ankara, Turkey. dramasyali@yahoo.com
authors.forename: Basri
authors.initials: B
authors.lastname: Amasyali
authors.forename: Sedat
authors.initials: S
authors.lastname: Kose
authors.forename: Kudret
authors.initials: K
authors.lastname: Aytemir
authors.forename: Ayhan
authors.initials: A
authors.lastname: Kilic
authors.forename: Hurkan
authors.initials: H
authors.lastname: Kursaklioglu
authors.forename: Ersoy
authors.initials: E
authors.lastname: Isik
mesh_terms: D000328:Adult; D017115:Catheter Ablation; D003331:Coronary Vessels; D004562:Electrocardiography; D006329:Heart Conduction System / Q000002:abnormalities*; D006801:Humans; D008297:Male; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D017211:Treatment Failure