Intermittent Preexcitation and Mesothelioma of the Atrioventricular Node: A Hitherto Undescribed Entity
Identifieur interne : 000081 ( Main/Corpus ); précédent : 000080; suivant : 000082Intermittent Preexcitation and Mesothelioma of the Atrioventricular Node: A Hitherto Undescribed Entity
Auteurs : Saroja Bharati ; Robert Bauernfeind ; Mark JosephsonSource :
- Journal of Cardiovascular Electrophysiology [ 1045-3873 ] ; 1995-10.
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Abstract
Mesothelioma of AV Node with WPW. This is the first documented case of spontaneous intermittent preexcitation associated with mesothelioma of the atrioventricular (AV) node. A 66‐year‐old male with recurrent atrial arrhythmias, palpitations, heart failure, and marked intra‐atrial conduction defect that required a pacemaker died during sleep. Electrophysiologic study revealed left free‐wall bypass tract with marked intra‐atrial conduction defect and prolonged conduction across the bypass tract. With atrial pacing, high degrees of block were noted in the bypass tract. Serial section of the conduction system and both AV rims revealed two left posterior and lateral bypass pathways with patchy areas of fibrosis. A large mesothelioma (benign AV nodal tumor) almost completely replaced the AV node. In addition, there was marked fatty infiltration of the atria. In summary: (1) the intermittent preexcitation with prolonged conduction across the bypass tract and block with atrial pacing were probably related to the incomplete patchy degenerative changes in the bypass tract, and/or almost complete replacement of the AV node by the tumor; (2) the intra‐atrial conduction defect was probably related to the replacement of the AV node by mesothelioma and/or the fatty infiltration of the atria: and (3) the paroxysmal atrial arrhythmias probably reflect the marked atrial pathology.
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DOI: 10.1111/j.1540-8167.1995.tb00358.x
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The Heart Institute for Children, Christ Hospital and Medical Center, Oak Lawn; Rush Medical College, Rush University, Chicago; and the University of Illinois at Chicago, Chicago, Illinois; and Harvard Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Hospital. Boston, Massachusetts</mods:affiliation></affiliation></author><author><name sortKey="Bauernfeind, Robert" sort="Bauernfeind, Robert" uniqKey="Bauernfeind R" first="Robert" last="Bauernfeind">Robert Bauernfeind</name><affiliation><mods:affiliation>Maurice Lev Congenital Heart and Conduction System Center. The Heart Institute for Children, Christ Hospital and Medical Center, Oak Lawn; Rush Medical College, Rush University, Chicago; and the University of Illinois at Chicago, Chicago, Illinois; and Harvard Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Hospital. 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This is the first documented case of spontaneous intermittent preexcitation associated with mesothelioma of the atrioventricular (AV) node. A 66‐year‐old male with recurrent atrial arrhythmias, palpitations, heart failure, and marked intra‐atrial conduction defect that required a pacemaker died during sleep. Electrophysiologic study revealed left free‐wall bypass tract with marked intra‐atrial conduction defect and prolonged conduction across the bypass tract. With atrial pacing, high degrees of block were noted in the bypass tract. Serial section of the conduction system and both AV rims revealed two left posterior and lateral bypass pathways with patchy areas of fibrosis. A large mesothelioma (benign AV nodal tumor) almost completely replaced the AV node. In addition, there was marked fatty infiltration of the atria. In summary: (1) the intermittent preexcitation with prolonged conduction across the bypass tract and block with atrial pacing were probably related to the incomplete patchy degenerative changes in the bypass tract, and/or almost complete replacement of the AV node by the tumor; (2) the intra‐atrial conduction defect was probably related to the replacement of the AV node by mesothelioma and/or the fatty infiltration of the atria: and (3) the paroxysmal atrial arrhythmias probably reflect the marked atrial pathology.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>SAROJA BHARATI M.D.</name><affiliations><json:string>Maurice Lev Congenital Heart and Conduction System Center. The Heart Institute for Children, Christ Hospital and Medical Center, Oak Lawn; Rush Medical College, Rush University, Chicago; and the University of Illinois at Chicago, Chicago, Illinois; and Harvard Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Hospital. Boston, Massachusetts</json:string></affiliations></json:item><json:item><name>ROBERT BAUERNFEIND M.D.</name><affiliations><json:string>Maurice Lev Congenital Heart and Conduction System Center. The Heart Institute for Children, Christ Hospital and Medical Center, Oak Lawn; Rush Medical College, Rush University, Chicago; and the University of Illinois at Chicago, Chicago, Illinois; and Harvard Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Hospital. Boston, Massachusetts</json:string></affiliations></json:item><json:item><name>MARK JOSEPHSON M.D.</name><affiliations><json:string>Maurice Lev Congenital Heart and Conduction System Center. The Heart Institute for Children, Christ Hospital and Medical Center, Oak Lawn; Rush Medical College, Rush University, Chicago; and the University of Illinois at Chicago, Chicago, Illinois; and Harvard Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Hospital. 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Fax: 708‐361‐8673.</p></note><affiliation>Maurice Lev Congenital Heart and Conduction System Center. The Heart Institute for Children, Christ Hospital and Medical Center, Oak Lawn; Rush Medical College, Rush University, Chicago; and the University of Illinois at Chicago, Chicago, Illinois; and Harvard Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Hospital. Boston, Massachusetts</affiliation></author><author><persName><forename type="first">ROBERT</forename><surname>BAUERNFEIND</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Maurice Lev Congenital Heart and Conduction System Center. The Heart Institute for Children, Christ Hospital and Medical Center, Oak Lawn; Rush Medical College, Rush University, Chicago; and the University of Illinois at Chicago, Chicago, Illinois; and Harvard Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Hospital. Boston, Massachusetts</affiliation></author><author><persName><forename type="first">MARK</forename><surname>JOSEPHSON</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Maurice Lev Congenital Heart and Conduction System Center. The Heart Institute for Children, Christ Hospital and Medical Center, Oak Lawn; Rush Medical College, Rush University, Chicago; and the University of Illinois at Chicago, Chicago, Illinois; and Harvard Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Hospital. Boston, Massachusetts</affiliation></author></analytic><monogr><title level="j">Journal of Cardiovascular Electrophysiology</title><idno type="pISSN">1045-3873</idno><idno type="eISSN">1540-8167</idno><idno type="DOI">10.1111/(ISSN)1540-8167</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1995-10"></date><biblScope unit="volume">6</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="823">823</biblScope><biblScope unit="page" to="831">831</biblScope></imprint></monogr><idno type="istex">D71DD1EFCD107C620EE1033A44D7EAE943D125EC</idno><idno type="DOI">10.1111/j.1540-8167.1995.tb00358.x</idno><idno type="ArticleID">JCE823</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1995</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Mesothelioma of AV Node with WPW. This is the first documented case of spontaneous intermittent preexcitation associated with mesothelioma of the atrioventricular (AV) node. A 66‐year‐old male with recurrent atrial arrhythmias, palpitations, heart failure, and marked intra‐atrial conduction defect that required a pacemaker died during sleep. Electrophysiologic study revealed left free‐wall bypass tract with marked intra‐atrial conduction defect and prolonged conduction across the bypass tract. With atrial pacing, high degrees of block were noted in the bypass tract. Serial section of the conduction system and both AV rims revealed two left posterior and lateral bypass pathways with patchy areas of fibrosis. A large mesothelioma (benign AV nodal tumor) almost completely replaced the AV node. In addition, there was marked fatty infiltration of the atria. In summary: (1) the intermittent preexcitation with prolonged conduction across the bypass tract and block with atrial pacing were probably related to the incomplete patchy degenerative changes in the bypass tract, and/or almost complete replacement of the AV node by the tumor; (2) the intra‐atrial conduction defect was probably related to the replacement of the AV node by mesothelioma and/or the fatty infiltration of the atria: and (3) the paroxysmal atrial arrhythmias probably reflect the marked atrial pathology.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>intermittent preexcitation</term></item><item><term>mesothelioma of the A V node</term></item><item><term>intermittent preexcitation with mesothelioma of the AV node</term></item><item><term>WPW with mesothelioma of the AV node</term></item><item><term>mesothelioma of the AV node with intermittent WPW</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1995-10">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/D71DD1EFCD107C620EE1033A44D7EAE943D125EC/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 Publishing Ltd</publisherName><publisherLoc>Oxford, 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="10010"><doi origin="wiley">10.1111/jce.1995.6.issue-10</doi><numberingGroup><numbering type="journalVolume" number="6">6</numbering><numbering type="journalIssue" number="10">10</numbering></numberingGroup><coverDate startDate="1995-10">October 1995</coverDate></publicationMeta><publicationMeta level="unit" type="caseStudy" position="0082300" status="forIssue"><doi origin="wiley">10.1111/j.1540-8167.1995.tb00358.x</doi><idGroup><id type="unit" value="JCE823"></id></idGroup><countGroup><count type="pageTotal" number="9"></count></countGroup><titleGroup><title type="tocHeading1">CASE REPORT</title></titleGroup><eventGroup><event type="firstOnline" date="2007-04-29"></event><event type="publishedOnlineFinalForm" date="2007-04-29"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:HeaderRef result:HeaderRef" date="2010-03-10"></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="2014-10-24"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="823">823</numbering><numbering type="pageLast" number="831">831</numbering></numberingGroup><correspondenceTo>Address for correspondence: Saroja Bharati, M.D., The Maurice Lev Congenital Heart and Conduction System Center, 11745 Southwest Highway, Palos Heights, IL 60463. Fax: 708‐361‐8673.</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JCE.JCE823.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Manuscript received 8 May 1995: Accepted for publication August 1995.</unparsedEditorialHistory><countGroup><count type="referenceTotal" number="53"></count><count type="linksCrossRef" number="4"></count></countGroup><titleGroup><title type="main"><b>Intermittent Preexcitation and Mesothelioma of the Atrioventricular Node</b>: A Hitherto Undescribed Entity</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>SAROJA</givenNames><familyName>BHARATI</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>ROBERT</givenNames><familyName>BAUERNFEIND</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>MARK</givenNames><familyName>JOSEPHSON</familyName><degrees>M.D.</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="IL"><unparsedAffiliation>Maurice Lev Congenital Heart and Conduction System Center. The Heart Institute for Children, Christ Hospital and Medical Center, Oak Lawn; Rush Medical College, Rush University, Chicago; and the University of Illinois at Chicago, Chicago, Illinois; and Harvard Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Hospital. Boston, Massachusetts</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">intermittent preexcitation</keyword><keyword xml:id="k2">mesothelioma of the A V node</keyword><keyword xml:id="k3">intermittent preexcitation with mesothelioma of the AV node</keyword><keyword xml:id="k4">WPW with mesothelioma of the AV node</keyword><keyword xml:id="k5">mesothelioma of the AV node with intermittent WPW</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p>Mesothelioma of AV Node with WPW. This is the first documented case of spontaneous intermittent preexcitation associated with mesothelioma of the atrioventricular (AV) node. A 66‐year‐old male with recurrent atrial arrhythmias, palpitations, heart failure, and marked intra‐atrial conduction defect that required a pacemaker died during sleep. Electrophysiologic study revealed left free‐wall bypass tract with marked intra‐atrial conduction defect and prolonged conduction across the bypass tract. With atrial pacing, high degrees of block were noted in the bypass tract. Serial section of the conduction system and both AV rims revealed two left posterior and lateral bypass pathways with patchy areas of fibrosis. A large mesothelioma (benign AV nodal tumor) almost completely replaced the AV node. In addition, there was marked fatty infiltration of the atria. In summary: (1) the intermittent preexcitation with prolonged conduction across the bypass tract and block with atrial pacing were probably related to the incomplete patchy degenerative changes in the bypass tract, and/or almost complete replacement of the AV node by the tumor; (2) the intra‐atrial conduction defect was probably related to the replacement of the AV node by mesothelioma and/or the fatty infiltration of the atria: and (3) the paroxysmal atrial arrhythmias probably reflect the marked atrial pathology.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="n-fnt-1" numbered="no"><p>We are indebted to Kay Pinson and Joyce Conti for secretarial assistance.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Intermittent Preexcitation and Mesothelioma of the Atrioventricular Node: A Hitherto Undescribed Entity</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>: A Hitherto Undescribed Entity</title></titleInfo><name type="personal"><namePart type="given">SAROJA</namePart><namePart type="family">BHARATI</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Maurice Lev Congenital Heart and Conduction System Center. The Heart Institute for Children, Christ Hospital and Medical Center, Oak Lawn; Rush Medical College, Rush University, Chicago; and the University of Illinois at Chicago, Chicago, Illinois; and Harvard Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Hospital. Boston, Massachusetts</affiliation><description>Correspondence: Address for correspondence: Saroja Bharati, M.D., The Maurice Lev Congenital Heart and Conduction System Center, 11745 Southwest Highway, Palos Heights, IL 60463. Fax: 708‐361‐8673.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">ROBERT</namePart><namePart type="family">BAUERNFEIND</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Maurice Lev Congenital Heart and Conduction System Center. The Heart Institute for Children, Christ Hospital and Medical Center, Oak Lawn; Rush Medical College, Rush University, Chicago; and the University of Illinois at Chicago, Chicago, Illinois; and Harvard Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Hospital. Boston, Massachusetts</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">MARK</namePart><namePart type="family">JOSEPHSON</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Maurice Lev Congenital Heart and Conduction System Center. The Heart Institute for Children, Christ Hospital and Medical Center, Oak Lawn; Rush Medical College, Rush University, Chicago; and the University of Illinois at Chicago, Chicago, Illinois; and Harvard Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Hospital. Boston, Massachusetts</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="case report" displayLabel="caseStudy"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">1995-10</dateIssued><edition>Manuscript received 8 May 1995: Accepted for publication August 1995.</edition><copyrightDate encoding="w3cdtf">1995</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="references">53</extent></physicalDescription><abstract lang="en">Mesothelioma of AV Node with WPW. This is the first documented case of spontaneous intermittent preexcitation associated with mesothelioma of the atrioventricular (AV) node. A 66‐year‐old male with recurrent atrial arrhythmias, palpitations, heart failure, and marked intra‐atrial conduction defect that required a pacemaker died during sleep. Electrophysiologic study revealed left free‐wall bypass tract with marked intra‐atrial conduction defect and prolonged conduction across the bypass tract. With atrial pacing, high degrees of block were noted in the bypass tract. Serial section of the conduction system and both AV rims revealed two left posterior and lateral bypass pathways with patchy areas of fibrosis. A large mesothelioma (benign AV nodal tumor) almost completely replaced the AV node. In addition, there was marked fatty infiltration of the atria. In summary: (1) the intermittent preexcitation with prolonged conduction across the bypass tract and block with atrial pacing were probably related to the incomplete patchy degenerative changes in the bypass tract, and/or almost complete replacement of the AV node by the tumor; (2) the intra‐atrial conduction defect was probably related to the replacement of the AV node by mesothelioma and/or the fatty infiltration of the atria: and (3) the paroxysmal atrial arrhythmias probably reflect the marked atrial pathology.</abstract><subject lang="en"><genre>Keywords</genre><topic>intermittent preexcitation</topic><topic>mesothelioma of the A V node</topic><topic>intermittent preexcitation with mesothelioma of the AV node</topic><topic>WPW with mesothelioma of the AV node</topic><topic>mesothelioma of the AV node with intermittent WPW</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>1995</date><detail type="volume"><caption>vol.</caption><number>6</number></detail><detail type="issue"><caption>no.</caption><number>10</number></detail><extent unit="pages"><start>823</start><end>831</end><total>9</total></extent></part></relatedItem><identifier type="istex">D71DD1EFCD107C620EE1033A44D7EAE943D125EC</identifier><identifier type="DOI">10.1111/j.1540-8167.1995.tb00358.x</identifier><identifier type="ArticleID">JCE823</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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