An Unusual Accessory Pathway: Anteroseptal to Ventricular Outflow Region Connection
Identifieur interne : 000327 ( Istex/Corpus ); précédent : 000326; suivant : 000328An Unusual Accessory Pathway: Anteroseptal to Ventricular Outflow Region Connection
Auteurs : Basilios Petrellis ; Allan C. Skanes ; George J. Klein ; Michael H. Gollob ; Andrew D. Krahn ; Raymond YeeSource :
- Journal of Cardiovascular Electrophysiology [ 1045-3873 ] ; 2005-05.
English descriptors
Abstract
Accessory pathways are typically located along the left or right atrioventricular junction. Distinct ventricular pre‐excitation patterns determined by surface electrocardiography can provide reasonable pathway localization prior to invasive mapping and catheter ablation. We report an accessory pathway producing an unusual electrocardiographic appearance suggestive of ventricular outflow region pre‐excitation. Pacing maneuvers and standard intracardiac recordings confirmed an atrial insertion immediately adjacent to the atrioventricular (AV) node and supported a ventricular insertion at the outflow tract region well away from the AV junction. The elimination of pathway conduction was achieved with radiofrequency (RF) energy at the atrial insertion after successful ice mapping excluded AV block at the target site. This is the second such pathway observed at our institution over a 20‐year period.
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DOI: 10.1046/j.1540-8167.2005.40522.x
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ISTEX:13C9FD868CA525414D927DF64737C25443386345Le document en format XML
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Klein</name><affiliation><mods:affiliation>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Gollob, Michael H" sort="Gollob, Michael H" uniqKey="Gollob M" first="Michael H" last="Gollob">Michael H. Gollob</name><affiliation><mods:affiliation>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Krahn, Andrew D" sort="Krahn, Andrew D" uniqKey="Krahn A" first="Andrew D" last="Krahn">Andrew D. 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Distinct ventricular pre‐excitation patterns determined by surface electrocardiography can provide reasonable pathway localization prior to invasive mapping and catheter ablation. We report an accessory pathway producing an unusual electrocardiographic appearance suggestive of ventricular outflow region pre‐excitation. Pacing maneuvers and standard intracardiac recordings confirmed an atrial insertion immediately adjacent to the atrioventricular (AV) node and supported a ventricular insertion at the outflow tract region well away from the AV junction. The elimination of pathway conduction was achieved with radiofrequency (RF) energy at the atrial insertion after successful ice mapping excluded AV block at the target site. This is the second such pathway observed at our institution over a 20‐year period.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>BASILIOS PETRELLIS M.B.B.S.</name><affiliations><json:string>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</json:string></affiliations></json:item><json:item><name>ALLAN C SKANES M.D.</name><affiliations><json:string>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</json:string></affiliations></json:item><json:item><name>GEORGE J KLEIN M.D.</name><affiliations><json:string>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</json:string></affiliations></json:item><json:item><name>MICHAEL H GOLLOB M.D.</name><affiliations><json:string>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</json:string></affiliations></json:item><json:item><name>ANDREW D KRAHN M.D.</name><affiliations><json:string>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</json:string></affiliations></json:item><json:item><name>RAYMOND YEE M.D.</name><affiliations><json:string>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>accessory pathway</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>anteroseptal</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>outflow tract</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>cryoablation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>ice mapping</value></json:item></subject><articleId><json:string>JCE40522</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Accessory pathways are typically located along the left or right atrioventricular junction. 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xml:lang="en"><p>Accessory pathways are typically located along the left or right atrioventricular junction. Distinct ventricular pre‐excitation patterns determined by surface electrocardiography can provide reasonable pathway localization prior to invasive mapping and catheter ablation. We report an accessory pathway producing an unusual electrocardiographic appearance suggestive of ventricular outflow region pre‐excitation. Pacing maneuvers and standard intracardiac recordings confirmed an atrial insertion immediately adjacent to the atrioventricular (AV) node and supported a ventricular insertion at the outflow tract region well away from the AV junction. The elimination of pathway conduction was achieved with radiofrequency (RF) energy at the atrial insertion after successful ice mapping excluded AV block at the target site. This is the second such pathway observed at our institution over a 20‐year period.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>keywords</head><item><term>accessory pathway</term></item><item><term>anteroseptal</term></item><item><term>outflow tract</term></item><item><term>cryoablation</term></item><item><term>ice mapping</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2005-05">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api-v5.istex.fr/document/13C9FD868CA525414D927DF64737C25443386345/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Science Inc</publisherName><publisherLoc> 350 Main Street , Malden , MA 02148‐5018 , USA , and 9600 Garsington Road , Oxford OX4 2DQ , UK . </publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1540-8167</doi><issn type="print">1045-3873</issn><issn type="electronic">1540-8167</issn><idGroup><id type="product" value="JCE"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY">Journal of Cardiovascular Electrophysiology</title></titleGroup></publicationMeta><publicationMeta level="part" position="05005"><doi origin="wiley">10.1111/jce.2005.16.issue-5</doi><numberingGroup><numbering type="journalVolume" number="16">16</numbering><numbering type="journalIssue" number="5">5</numbering></numberingGroup><coverDate startDate="2005-05">May 2005</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="16" status="forIssue"><doi origin="wiley">10.1046/j.1540-8167.2005.40522.x</doi><idGroup><id type="unit" value="JCE40522"></id><id type="supplier" value="jce40522"></id></idGroup><titleGroup><title type="tocHeading1">CASE REPORT</title></titleGroup><eventGroup><event type="firstOnline" date="2005-04-12"></event><event type="publishedOnlineFinalForm" date="2005-04-12"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.4 mode:FullText source:FullText result:FullText" date="2010-03-30"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-29"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-23"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="546">546</numbering><numbering type="pageLast" number="551">551</numbering></numberingGroup><correspondenceTo>Allan Skanes, M.D., London Health Sciences Centre, University Campus, 339 Windermere Road, London, Ontario, Canada N6A 5A5. Fax: 519‐434‐3278; E‐mail: <email>allan.skanes@lhsc.on.ca</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JCE.JCE40522.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="7"></count><count type="tableTotal" number="0"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="14"></count><count type="linksCrossRef" number="30"></count></countGroup><titleGroup><title type="main">An Unusual Accessory Pathway: Anteroseptal to Ventricular Outflow Region Connection</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>BASILIOS</givenNames><familyName>PETRELLIS</familyName><degrees>M.B.B.S.</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>ALLAN C</givenNames><familyName>SKANES</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>GEORGE J</givenNames><familyName>KLEIN</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>MICHAEL H</givenNames><familyName>GOLLOB</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a1"><personName><givenNames>ANDREW D</givenNames><familyName>KRAHN</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a1"><personName><givenNames>RAYMOND</givenNames><familyName>YEE</familyName><degrees>M.D.</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="CA"><unparsedAffiliation>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1"><i>accessory pathway</i></keyword><keyword xml:id="k2"><i>anteroseptal</i></keyword><keyword xml:id="k3"><i>outflow tract</i></keyword><keyword xml:id="k4"><i>cryoablation</i></keyword><keyword xml:id="k5"><i>ice mapping</i></keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><!-- An Unusual Accessory Pathway. 
<p>Accessory pathways are typically located along the left or right atrioventricular junction. Distinct ventricular pre‐excitation patterns determined by surface electrocardiography can provide reasonable pathway localization prior to invasive mapping and catheter ablation. We report an accessory pathway producing an unusual electrocardiographic appearance suggestive of ventricular outflow region pre‐excitation. Pacing maneuvers and standard intracardiac recordings confirmed an atrial insertion immediately adjacent to the atrioventricular (AV) node and supported a ventricular insertion at the outflow tract region well away from the AV junction. The elimination of pathway conduction was achieved with radiofrequency (RF) energy at the atrial insertion after successful ice mapping excluded AV block at the target site. This is the second such pathway observed at our institution over a 20‐year period.</p><!-- (J Cardiovasc Electrophysiol, Vol. 16, pp. 1-6, May 2005)
</abstractGroup></contentMeta><noteGroup><note xml:id="n-fnt-1" numbered="no"><p>Manuscript received 19 July 2004; Revised manuscript received 16 December 2004; Accepted for publication 5 January 2005.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>An Unusual Accessory Pathway: Anteroseptal to Ventricular Outflow Region Connection</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>An Unusual Accessory Pathway: Anteroseptal to Ventricular Outflow Region Connection</title></titleInfo><name type="personal"><namePart type="given">BASILIOS</namePart><namePart type="family">PETRELLIS</namePart><namePart type="termsOfAddress">M.B.B.S.</namePart><affiliation>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">ALLAN C</namePart><namePart type="family">SKANES</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">GEORGE J</namePart><namePart type="family">KLEIN</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">MICHAEL H</namePart><namePart type="family">GOLLOB</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">ANDREW D</namePart><namePart type="family">KRAHN</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">RAYMOND</namePart><namePart type="family">YEE</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>University of Western Ontario, Arrhythmia Service, London, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Science Inc</publisher><place><placeTerm type="text">350 Main Street , Malden , MA 02148‐5018 , USA , and 9600 Garsington Road , Oxford OX4 2DQ , UK .</placeTerm></place><dateIssued encoding="w3cdtf">2005-05</dateIssued><copyrightDate encoding="w3cdtf">2005</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">7</extent><extent unit="references">14</extent></physicalDescription><abstract lang="en">Accessory pathways are typically located along the left or right atrioventricular junction. Distinct ventricular pre‐excitation patterns determined by surface electrocardiography can provide reasonable pathway localization prior to invasive mapping and catheter ablation. We report an accessory pathway producing an unusual electrocardiographic appearance suggestive of ventricular outflow region pre‐excitation. Pacing maneuvers and standard intracardiac recordings confirmed an atrial insertion immediately adjacent to the atrioventricular (AV) node and supported a ventricular insertion at the outflow tract region well away from the AV junction. The elimination of pathway conduction was achieved with radiofrequency (RF) energy at the atrial insertion after successful ice mapping excluded AV block at the target site. This is the second such pathway observed at our institution over a 20‐year period.</abstract><subject lang="en"><genre>keywords</genre><topic>accessory pathway</topic><topic>anteroseptal</topic><topic>outflow tract</topic><topic>cryoablation</topic><topic>ice mapping</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Cardiovascular Electrophysiology</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">1045-3873</identifier><identifier type="eISSN">1540-8167</identifier><identifier type="DOI">10.1111/(ISSN)1540-8167</identifier><identifier type="PublisherID">JCE</identifier><part><date>2005</date><detail type="volume"><caption>vol.</caption><number>16</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>546</start><end>551</end></extent></part></relatedItem><identifier type="istex">13C9FD868CA525414D927DF64737C25443386345</identifier><identifier type="DOI">10.1046/j.1540-8167.2005.40522.x</identifier><identifier type="ArticleID">JCE40522</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Science Inc</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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