Catheter ablation of a difficult accessory pathway guided by coronary sinus venography and 3D electroanatomical mapping.
A 38-year-old man with history of unsuccessful catheter ablation of paraseptal accessory pathway (AP) and cardiac arrest was referred for reablation. Coronary sinus (CS) venography and detailed three-dimensional electroanatomical mapping demonstrated a large diverticulum near the CS ostium. A single radiofrequency ablation at the neck of the diverticulum eliminated conduction in the AP completely.
Raatikainen
M J Pekka
MJ
Heart Center Tampere University Hospital, PO Box 2000, Tampere FI-33521, Finland. pekka.raatikainen@sydankeskus.fi
Pedersen
Anders K
AK
D000328:Adult; D017115:Catheter Ablation / Q000379:methods*; D054326:Coronary Sinus / Q000000981:diagnostic imaging*; D004562:Electrocardiography; D006329:Heart Conduction System / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D010690:Phlebography / Q000379:methods*; D014693:Ventricular Fibrillation / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*