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Radiofrequency Ablation of Bilateral Quadruple Accessory Pathways in a Patient with Wolff‐Parkinson‐White Syndrome
Author(s) -
CHEN SHIHANN,
CHIANG CHERNEN,
CHIOU CHUENWANG,
WANG SHIHPU,
CHIANG BENJAMIN N.,
CHANG MAUSONG
Publication year - 1992
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.1540-8159.1992.tb03138.x
Subject(s) - accessory pathway , medicine , radiofrequency ablation , tachycardia , supraventricular tachycardia , asymptomatic , ablation , cardiology , wpw syndrome , paroxysmal supraventricular tachycardia , catheter ablation
A patient with drug refractory supraventricular tachycardia showed electrophysiological evidence of bilateral quadruple accessory pathways. The conduction was bidirectional in the left posteroseptal and left posterolateral accessory pathways, antegrade in the right lateral accessory pathway, and retrograde in the right anterior accessory pathway. The four pathways participated in seven types of reciprocating tachycardias. Radiofrequency ablation eliminated the four pathways successfully. The patient was asymptomatic and free of any drug during a 10‐month follow‐up.