scholarly journals Spontaneous transformation of a concealed to manifest posteroseptal accessory pathway requiring epicardial ablation

2018 ◽  
Vol 34 (3) ◽  
pp. 312-314
Author(s):  
Adam Lee ◽  
James Lindemann ◽  
Oscar Davison ◽  
Daniel Wright ◽  
Russell Denman
Keyword(s):  
Accessory Pathway ◽  
Epicardial Ablation ◽  
Spontaneous Transformation ◽  
Posteroseptal Accessory Pathway

scholarly journals Electrocardiographic and Electrophysiologic Predictors of Successful Ablation Site in Patients with Manifest Posteroseptal Accessory Pathway

2007 ◽  
Vol 31 (1) ◽  
pp. 103-111 ◽  
Author(s):  
MAJID HAGHJOO ◽  
EBRAHIM MAHMOODI ◽  
AMIR FARJAM FAZELIFAR ◽  
ABOLFATH ALIZADEH ◽  
MOHAMMAD JAFAR HASHEMI ◽  
...  
Keyword(s):  
Accessory Pathway ◽  
Successful Ablation ◽  
Posteroseptal Accessory Pathway

scholarly journals A case of wide complex tachycardia in wolff-parkinson-white syndrome

2019 ◽  
Vol 6 (4) ◽  
pp. 1
Author(s):  
Jonathan Lowenthal ◽  
Jack Xu ◽  
Eric Pagan ◽  
Richard Tangel ◽  
Daniel Schaer ◽  
...  
Keyword(s):  
Atrial Flutter ◽  
Accessory Pathway ◽  
White Syndrome ◽  
Presenting Symptoms ◽  
Wide Complex Tachycardia ◽  
Pr Interval ◽  
History Of ◽  
Ventricular Preexcitation ◽  
Posteroseptal Accessory Pathway ◽  
Wolff Parkinson White Syndrome

The manifestation of atrial flutter, particularly with 1:1 conduction, is rare in patients with ventricular preexcitation secondary to Wolff-Parkinson-White Syndrome (WPW). Very few cases have been reported in the literature. We present a 40-year old male with a history of untreated WPW who presented with severe chest pain and shortness of breath. He was found to have a rapid, regular, wide complex tachycardia. He underwent successful synchronized cardioversion, in which the patient converted tonormal sinus rhythm with classic WPW waveform characteristics, including a shortened PR interval and prolonged QRS complex with a slurred upstroke. Surprisingly, a subsequent electrophysiology study revealed atrial flutter, with bystander conduction of 1:1 atrial flutter being the most likely cause of the patient’s presenting symptoms, and a posteroseptal accessory pathway consistent with the diagnosis of WPW. While considerably rarer than ventricular tachycardia or AVRT, it is nevertheless important for clinicians to consider atrial flutter with 1:1 conduction as a potential diagnosis in patients with WPW presenting with wide complex tachycardia.

Failed Posteroseptal Accessory Pathway

2012 ◽  
Vol 4 (4) ◽  
pp. 527-530
Author(s):  
Marwan Refaat ◽  
Nitish Badhwar
Keyword(s):  
Accessory Pathway ◽  
Posteroseptal Accessory Pathway
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