Successful Radiofrequency Catheter Ablation for Wolff-Parkinson-White Syndrome Within the Neck of a Coronary Sinus Diverticulum.
10.4070/kcj.2009.39.9.389
- Author:
Sung Won JANG
1
;
Tai Ho RHO
;
Dong Bin KIM
;
Bum Jun KWON
;
Eun Joo CHO
;
Woo Seung SHIN
;
Ji Hoon KIM
;
Seung Won JIN
;
Yong Seog OH
;
Man Young LEE
;
Jae Hyung KIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. tairho@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Wolff-Parkinson-white syndrome;
Coronary sinus;
Diverticulum;
Radiofrequency catheter ablation
- MeSH:
Catheter Ablation;
Coronary Sinus;
Diverticulum;
Electrocardiography;
Female;
Humans;
Middle Aged;
Neck;
Phlebography;
Wolff-Parkinson-White Syndrome
- From:Korean Circulation Journal
2009;39(9):389-391
- CountryRepublic of Korea
- Language:English
-
Abstract:
Posteroseptal accessory pathways are often associated with coronary sinus diverticula. These diverticula contain myocardial coats which serve as a bypass tract. We report a 54-year-old woman who underwent radiofrequency (RF) catheter ablation for Wolff-Parkinson-White (WPW) syndrome. The surface electrocardiography (ECG) demonstrated pre-excitation, indicating a posteroseptal accessory pathway. A catheter ablation via a transaortic approach failed to ablate the accessory pathway. Coronary sinus venography revealed the presence of a diverticulum near the ostium. An electrogram in the neck of the diverticulum showed the coronary sinus myocardial extension potential, which was successfully ablated by delivery of RF energy.
