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Single-shot cryoablation of an epicardial inferoparaseptal accessory pathway: a case report.


ABSTRACT:

Background

Catheter ablation (CA) of epicardial accessory pathways (APs) can be performed via the coronary sinus (CS) system. Variable CS anatomy with complications of former CA procedures inside the CS venous system may require using alternative CA approach and technology.

Case summary

We report the case of a 23-year-old man with Wolff-Parkinson-White syndrome and history of aborted sudden cardiac death (SCD) and unsuccessful previous AP radiofrequency ablation (RFA). CS venography during the redo procedure revealed an early CS trifurcation with cardiac veins stenosis, thus with difficulties in maintaining cardiac veins' access and catheter manoeuvring inside CS venous system. The last office visit with electrocardiogram (ECG) performance was in 3 months after the CA. Neith

SUBMITTER: Davtyan KV 

PROVIDER: S-EPMC7319811 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature