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Successful treatment of two left-side accessory pathways in patient with orthodromic tachycardia

https://doi.org/10.18705/2311-4495-2016-3-3-112-116

Abstract

The overall frequency of pre-excitation syndrome is 0.3% in general population and comes towards 0.5 % in patients with congenital heart disease. Kent fibers, defined as direct accessory pathways outside the AV junction , are the morphological substrate for the Wolff-Parkinson-White (WPW) syndrome. We present case study of the two left-hand Kent fibers ablation in patient with orthodromic tachycardia. Partial elimination of the accessory pathways may lead to recurrence of tachycardia in the early postoperative period. It is important that different pacing maneuvers and pharmacological tests contribute to the identification of multiple accessory pathways.

About the Authors

Svetlana I. Dolginina
Samara Regional Cardiology Center
Russian Federation


Inna P. Soldatkina
Samara Regional Cardiology Center
Russian Federation


Nataila V. Lapshina
Samara Regional Cardiology Center
Russian Federation


Maksim M. Mazilov
Samara Regional Cardiology Center
Russian Federation


Stepan P. Polyakov
Samara Regional Cardiology Center
Russian Federation


Kirill A. Gorbunov
Samara Regional Cardiology Center
Russian Federation


References

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Review

For citations:


Dolginina S.I., Soldatkina I.P., Lapshina N.V., Mazilov M.M., Polyakov S.P., Gorbunov K.A. Successful treatment of two left-side accessory pathways in patient with orthodromic tachycardia. Translational Medicine. 2016;3(3):112-116. (In Russ.) https://doi.org/10.18705/2311-4495-2016-3-3-112-116

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ISSN 2311-4495 (Print)
ISSN 2410-5155 (Online)