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Wolff‐Parkinson‐White Syndrome Associated with a Coronary Sinus Diverticulum: Ablative Surgical Approach
Author(s) -
MCGIFFIN DAVID C.,
MASTERSON MARTIN L.,
STAFFORD WAYNE J.
Publication year - 1990
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1990.tb02141.x
Subject(s) - medicine , ablative case , diverticulum (mollusc) , cardiology , white (mutation) , biochemistry , chemistry , gene , radiation therapy
This report concerns a patient with drug refractory supraventricular tachycardia due to the Wolff‐Parkinson‐White syndrome in association with a coronary sinus diverticulum. Division of the anomalous bypass tract was initially performed by an endocardial approach together with circumferential dissection of the neck of the diverticulum. This procedure failed to ablate the bypass tract that was only successfully divided when the superficial wall of the diverticulum was excised. This case illustrates the dose association that exists between an anomalous atrioventricular bypass tract and a coronary sinus diverticulum, and the importance of dividing the superficial wall of the diverticulum as an integral part of the ablative procedure.