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Successful catheter ablation of the accessory pathway in an unusual location in a 13-year-old girl with a coronary sinus diverticulum and Wolff-Parkinson-White syndrome

Published online by Cambridge University Press:  05 May 2023

Emine Gulsah Torun Open the ORCID record for Emine Gulsah Torun [Opens in a new window] ,
Serhat Koca Open the ORCID record for Serhat Koca [Opens in a new window] ,
Gökçe Kaya Dinçel Open the ORCID record for Gökçe Kaya Dinçel [Opens in a new window]  and
Serkan Çay Open the ORCID record for Serkan Çay [Opens in a new window]
Emine Gulsah Torun*
Affiliation:
Department of Pediatric Cardiology, Ankara City Hospital, Ankara, Turkey
Serhat Koca
Affiliation:
Department of Pediatric Cardiology, Ankara City Hospital, Ankara, Turkey
Gökçe Kaya Dinçel
Affiliation:
Department of Pediatric Cardiology, Ankara City Hospital, Ankara, Turkey
Serkan Çay
Affiliation:
Department of Cardiology, Division of Arrhythmia and Electrophysiology, Ankara City Hospital, Ankara, Turkey
*
Corresponding author: Dr E. G. Torun, Ministry of Health, Ankara City Hospital, Department of Pediatric Cardiology, Ankara, Turkey. E-mail: drgtorun@gmail.com
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Abstract

Wolff-Parkinson-White syndrome is a congenital cardiac pre-excitation syndrome that is effectively treated by ablating the accessory pathway. However, accessory pathways located in the posteroseptal region can sometimes be challenging. In this paper, we present the successful ablation of the epicardial posteroseptal accessory pathway through the middle cardiac vein in a 13-year-old girl with a coronary sinus diverticulum and Wolff-Parkinson-White syndrome, after unsuccessful ablation attempts at different locations. If the ablation procedure fails, the possibility of the posteroseptal pathway should be kept in mind, and coronary sinus angiography should be performed. In cases with a coronary sinus diverticulum where ablation is not successful, other coronary sinus structures, for example, the middle cardiac vein should be considered as potential accessory pathways.

Keywords

Middle cardiac veincatheter ablationWolff-Parkinson-White syndromeepicardial accessory pathway
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 11 , November 2023 , pp. 2375 - 2378
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Copyright
© The Author(s), 2023. Published by Cambridge University Press

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References

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