Hostname: page-component-848d4c4894-m9kch Total loading time: 0 Render date: 2024-05-01T13:14:49.393Z Has data issue: false hasContentIssue false
  • English
  • Français

A challenging catheter ablation of anteroseptal manifest accessory pathway from non-coronary aortic cusp in a paediatric patient

Published online by Cambridge University Press:  20 January 2023

Merve Maze Aydemir Open the ORCID record for Merve Maze Aydemir [Opens in a new window] ,
Hasan Candas Kafali Open the ORCID record for Hasan Candas Kafali [Opens in a new window]  and
Yakup Ergul Open the ORCID record for Yakup Ergul [Opens in a new window]
Merve Maze Aydemir*
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Hasan Candas Kafali
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
Yakup Ergul
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
*
Author for correspondence: Merve Maze Aydemir, Department of Pediatric Cardiology, Mehmet Akif Ersoy Research and Training Hospital, Bezirganbahce Street, Halkali, 34303, Istanbul, Turkey. Tel: +90 212 692 20 00. E-mail: maze_zabun@hotmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Twelve-lead ECG of a child with Wolff–Parkinson–White syndrome and systolic dysfunction was consistent with the anteroseptal accessory pathway. The earliest atrial activation during electrophysiological study was found between the right anteroseptal region near the HIS. Multiple femoral tract right-sided cryotest lesions followed by radiofrequency catheter irrigated through the jugular vein route were unsuccessful. Then, non-coronary aortic cusp mapping and cryoablation were successfully performed with a retroartic approach.

Keywords

Wolff–Parkinson–Whiteaccessory pathwaycatheter ablationnon-coronary aortic cusppaediatrics
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 8 , August 2023 , pp. 1474 - 1476
Check for updates
Copyright
© The Author(s), 2023. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Letsas, KP, Efremidis, M, Vlachos, K, et al. Catheter ablation of anteroseptal accessory pathways from the aortic cusps: a case series and a review of the literature. J Arrhythmia. 2016; 32: 443–448.CrossRefGoogle Scholar
Tanıdır, İ.C, Özyılmaz, İ., Ünsal, S, Güzeltaş, A, Ergül, Y. Catheter ablation of the anteroseptal accessory pathway from the noncoronary aortic cusp in a pediatric patient. Anadolu Kardiyol Derg. 2015; 15: 259–260.CrossRefGoogle ScholarPubMed
Nguyen, MB, Ceresnak, SR, Janson, CM, et al. A multicenter review of ablation in the aortic cusps in young people. PACE - Pacing Clin Electrophysiol. 2017; 40: 798–802.10.1111/pace.13126CrossRefGoogle ScholarPubMed
Kiliçaslan, F, Uz, Ö., Işilak, Z, Tokatli, A. Successful catheter ablation of accessory pathway from non-coronary cusp of aorta: an alternative approach. Turk Kardiyol Dern Ars. 2012; 40: 540–543.CrossRefGoogle Scholar
Köşger, P, Sevinç Şengül, F, Kafali, HC, Uçar, B, Ergul, Y. Successful right anteroseptal manifest accessory pathway cryoablation in a six-month infant with dyssynchrony-induced dilated cardiomyopathy. Anatol J Cardiol. 2019; 22: 272–275.Google Scholar
Haraguchi, M, Kondo, H, Ishii, Y, et al. A case of Type-C Wolff-Parkinson–White syndrome with severe left ventricular dysfunction: efficacy of catheter ablation. J Cardiol Cases. 2017; 15: 32–35.CrossRefGoogle ScholarPubMed