A Case of Multiple Cardiovascular and Tracheal Anomalies Presented with Wolff-Parkinson-White Syndrome in a Middle-aged Adult.
10.3346/jkms.2017.32.12.2069
- Author:
Hyejin SHI
1
;
Sungmin SOHN
;
SungHo WANG
;
Sungrock PARK
;
SangKi LEE
;
Song Yi KIM
;
Sun Young JEONG
;
Changhwan KIM
Author Information
1. Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Dextrocardia;
Superior Vena Cava;
Pulmonary Artery;
Bronchus;
Wolff-Parkinson-White Syndrome
- MeSH:
Adult*;
Arrhythmias, Cardiac;
Bronchi;
Catheter Ablation;
Dextrocardia;
Electric Countershock;
Electrocardiography;
Hemodynamics;
Humans;
Middle Aged;
Pulmonary Artery;
Radiography, Thoracic;
Tachycardia;
Tachycardia, Supraventricular;
Thorax;
Vena Cava, Superior;
Wolff-Parkinson-White Syndrome*
- From:Journal of Korean Medical Science
2017;32(12):2069-2072
- CountryRepublic of Korea
- Language:English
-
Abstract:
Congenital cardiovascular anomalies, such as dextrocardia, persistent left superior vena cava (SVC), and pulmonary artery (PA) sling, are rare disorders. These congenital anomalies can occur alone, or coincide with other congenital malformations. In the majority of cases, congenital anomalies are detected early in life by certain signs and symptoms. A 56-year-old man with no previous medical history was admitted due to recurrent wide QRS complex tachycardia with hemodynamic collapse. A chest radiograph showed dextrocardia. After synchronized cardioversion, an electrocardiogram revealed Wolff-Parkinson-White (WPW) syndrome. Persistent left SVC, PA sling, and right tracheal bronchus were also detected by a chest computed tomography (CT) scan. He was diagnosed with paroxysmal supraventricular tachycardia (PSVT) associated with WPW syndrome, and underwent radiofrequency ablation. We reported the first case of situs solitus dextrocardia coexisting with persistent left SVC, PA sling and right tracheal bronchus presented with WPW and PSVT in a middle-aged adult. In patients with a cardiovascular anomaly, clinicians should consider thorough evaluation of possibly combined cardiovascular and airway malformations and cardiac dysrhythmia.
