A Unique Preexcitation Pattern Related to an Atypical Anteroseptal Accessory Pathway
Identifieur interne : 004618 ( Main/Exploration ); précédent : 004617; suivant : 004619A Unique Preexcitation Pattern Related to an Atypical Anteroseptal Accessory Pathway
Auteurs : Wee Siong Teo [Canada] ; Gerard Guiraudon [Canada] ; George J. Klein [Canada] ; James W. Leitch [Canada] ; Raymond Yee [Canada]Source :
- Pacing and Clinical Electrophysiology [ 0147-8389 ] ; 1992-11.
English descriptors
Abstract
Accessory atrioventricular pathways have traditionally been classified by anatomical Jocation to four areas, namely anteroseptal, posteroseptal, and right and left free walls. Each of these have been associated with a relatively distinct preexcitafion pattern electrocardiographically. We describe a patient with a unique EGG pattern suggesting preexcitation to the right ventricular outflow region, Preoperative and intraoperative electrophysioJogicaJ testing confirmed the presence of an accessory pathway with an atrial insertion site near the His bundle, decremental anterograde conduction, and a ventricular insertion site in the upper part of the interventricular septum. Operative ablation near the atrial insertion site eliminated preexcitation.
Url:
DOI: 10.1111/j.1540-8159.1992.tb02957.x
Affiliations:
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<front><div type="abstract" xml:lang="en">Accessory atrioventricular pathways have traditionally been classified by anatomical Jocation to four areas, namely anteroseptal, posteroseptal, and right and left free walls. Each of these have been associated with a relatively distinct preexcitafion pattern electrocardiographically. We describe a patient with a unique EGG pattern suggesting preexcitation to the right ventricular outflow region, Preoperative and intraoperative electrophysioJogicaJ testing confirmed the presence of an accessory pathway with an atrial insertion site near the His bundle, decremental anterograde conduction, and a ventricular insertion site in the upper part of the interventricular septum. Operative ablation near the atrial insertion site eliminated preexcitation.</div>
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