scholarly journals Antidromic Atrioventricular Reentry Tachycardia with Wolff Parkinson White Syndrome: A Rare Beast

Cureus ◽  
2018 ◽  
Author(s):  
Rizwan Ali ◽  
Arooj Tahir ◽  
Muhammad Nadeem ◽  
Mohammed I Shakhatreh ◽  
Brett Faulknier
2012 ◽  
Vol 17 (1) ◽  
pp. 93-97
Author(s):  
Michiel Kroesen ◽  
Machiel Maseland ◽  
Jaime Smal ◽  
Annet Reimer ◽  
Petra van Setten

We present the case of a 2-year-old asthmatic boy with atrioventricular (AV)-reentry tachycardia following albuterol inhalation, who was later diagnosed with Wolff-Parkinson-White (WPW) syndrome. The Naranjo adverse drug reaction probability scale score for this adverse event was 7, indicating that the association between his AV-reentry tachycardia and inhalation of albuterol is probable. To our knowledge, this is the first case report that shows the potential arrhythmogenic effects of albuterol in a child with WPW syndrome. We urge clinicians to be aware of this potentially life-threatening adverse effect and to closely monitor these patients when they need beta-adrenergic drugs in case of emergency. Furthermore, this report highlights the dilemma regarding the safe treatment of pediatric patients with both asthma and WPW syndrome.


2013 ◽  
Author(s):  
Gabriela R Oliveira ◽  
Daniel Petiti ◽  
Benito J Garbelini ◽  
Paulo Eduardo de Oliveira Carvalho ◽  
Antonio José Maria Cataneo

1996 ◽  
Vol 19 (7) ◽  
pp. 1082-1088 ◽  
Author(s):  
RUEY-KANG R. CHANG ◽  
WILLIAM G. STEVENSON ◽  
GLENN T. WETZEL ◽  
KEVIN SHANNON ◽  
VICTOR C. BAUM ◽  
...  

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Mohammad Paymard ◽  
Marc W. Deyell ◽  
Santabhanu Chakrabarti ◽  
Zachary W. Laksman ◽  
Jacob Larsen ◽  
...  

Abstract Background This is a rare and challenging case of Wolff–Parkinson–White syndrome due to a posteroseptal accessory pathway located in the coronary sinus diverticulum. It is often difficult to precisely locate this type of accessory pathway, and the ablation procedure could be associated with collateral damage to the neighbouring coronary arteries. Case Presentation The patient was a 49-year-old female with Wolff–Parkinson–White syndrome who was referred for catheter ablation. She had had a previous unsuccessful attempt at ablation and had remained symptomatic despite drug therapy. The pre-procedural cardiac computed tomography scan revealed the presence of a diverticulum in the proximal coronary sinus. Using an advanced three-dimensional cardiac mapping system, the electroanatomic map of the diverticulum was created. The accessory pathway potential was identified within the diverticulum preceding the ventricular insertion. The accessory pathway was then successfully ablated using radiofrequency energy. Conclusion We have demonstrated that the advanced three-dimensional cardiac mapping system plays a very important role in guiding clinicians in order to precisely locate and safely ablate this type of challenging accessory pathway.


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