Abstract
We report a rare combination of a right atriofascicular Mahaim fiber and two left-sided atrioventricular accessory pathways in a 57-year-old female presenting with an antidromic atrioventricular reciprocating tachycardia. Radiofrequency ablation was first targeted at the left lateral accessory pathway that served as the retrograde limb of the tachycardia. After elimination of the left lateral pathway, a bystander left posterolateral pathway was detected, and it too was successfully ablated. Although no tachycardia was reinducible, the Mahaim pathway was ablated because of its short effective refractory period. A discrete Mahaim potential recorded at the right atrial free-wall successfully guided the ablation.
Original language | English |
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Pages (from-to) | 481-487 |
Number of pages | 7 |
Journal | Japanese Heart Journal |
Volume | 40 |
Issue number | 4 |
DOIs | |
State | Published - 07 1999 |
Externally published | Yes |
Keywords
- Accessory pathways
- Mahaim fiber
- Radiofrequency ablation