Late Onset of Severe Symptoms in a Patient with Wolff-Parkinson-White Syndrome with Misleading ECG Pattern of the Accessory Pathway Origin Undergoing Successful Ablation

Authors

  • Antonis S Manolis Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
  • Christos-Konstantinos Antoniou First Department of Cardiology, Athens University School of Medicine, Athens, Greece
  • Antonios Karanasos First Department of Cardiology, Athens University School of Medicine, Athens, Greece
  • George Lazaros First Department of Cardiology, Athens University School of Medicine, Athens, Greece

Keywords:

preexcitation syndrome, posteroseptal accessory pathway, Wolff-Parkinson-White syndrome, electrophysiology study, radiofrequency catheter ablation

Abstract

The case of a female patient with symptomatic Wolff-Parkinson-White syndrome is presented with very late onset of symptoms at the age of 65 years, who had an apparent left-sided posteroseptal accessory pathway, which was ablated via a right-sided approach. A subepicardial location was strongly suspected within the coronary sinus ostium at the origin of the middle cardiac vein by applying both ECG and fluoroscopic criteria. Rhythmos 2016;11(3):73-75. 

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Published

2016-07-18

Issue

Section

Case Report