Preexcitation Syndrome with a Mahaim-type Accessory Pathway.
10.18501/arrhythmia.2017.025
- Author:
Kwang No LEE
1
;
Young Hoon KIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, Korea University Medical Center, Seoul, Republic of Korea. yhkmd@unitel.co.kr
- Publication Type:Case Report
- Keywords:
Mahaim Fiber;
Wide QRS complex Tachycardia;
Left Bundle Branch Block;
Preexcitation Syndrome
- MeSH:
Bundle-Branch Block;
Catheter Ablation;
Humans;
Pre-Excitation Syndromes*;
Tachycardia;
Tachycardia, Supraventricular;
Tachycardia, Ventricular
- From:International Journal of Arrhythmia
2017;18(3):151-154
- CountryRepublic of Korea
- Language:English
-
Abstract:
Wide QRS complex tachycardia with a left bundle branch block pattern can be caused by supraventricular tachycardia with aberrant conduction, preexcitation syndrome mediated through a right-sided accessory pathway, and/or ventricular tachycardia. The use of atrial pacing maneuvers can be beneficial for unmasking minimal preexcitation to differentiate between these conditions. Here, we report a case of successful radiofrequency catheter ablation of a Mahaim fiber in a patient with wide QRS complex tachycardia.