Catheter ablation of a posteroseptal accessory pathway in a case with congenital long QT syndrome.
A 23-year-old woman with pre-excitation who was resuscitated from ventricular fibrillation underwent electrophysiologic testing. Successful catheter ablation of a left posteroseptal accessory pathway was achieved. Though the JT and JTc intervals as well as QT and QTc intervals were prolonged before and one day after the ablation, they normalized within about 5 hours after the ablation. This case demonstrated that in a patient with pre-excitation and long QT syndrome (LQTs), the JTc interval was useful for diagnosing LQTs and a longer follow-up of the JTc interval after the ablation was necessary in order not to miss the diagnosis of LQTs.
Division of Cardiovascular Disease, University of Alabama, Birmingham, AL 35294-0019, USA.
Takumi
T
Yamada
John M
JM
Jennings
H Thomas
HT
McElderry
Harish
H
Doppalapudi
Andrew E
AE
Epstein
Vance J
VJ
Plumb
G Neal
GN
Kay
D000328:Adult; D017115:Catheter Ablation; D004562:Electrocardiography; D005260:Female; D006329:Heart Conduction System / Q000503:physiopathology; D006346:Heart Septum / Q000601:surgery*; D006801:Humans; D008133:Long QT Syndrome / Q000150:complications / Q000151:congenital / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D011226:Pre-Excitation Syndromes / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D014693:Ventricular Fibrillation / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*